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COMMUNITY: Anchorage Neighborhood Health Center • Benewah Medical Center • Bethel Family Clinic • Bristol Bay Area Health Corporation • Camai Community Health Center • Council Of Athabascan Tribal Governments • Cross Road Medical Center • Eastern Aleutian Tribes • Girdwood Health Clinic, Inc. • Ilanka Community Health Center • Iliuliuk Family And Health Services • Interior Community Health Center • Kodiak Area Native Association • Kodiak Community Health Center • Mat-Su Health Services • Peninsula Community Health Services Of Alaska • Southeast Alaska Regional Health Consortium • Seward Community Health Center • Southcentral Foundation • Sunshine Community Health Center • Tanana Chiefs Conference • Yakutat Community Health Center • Yukon Kuskokwim Health Corporation • Adams County Health Center • Community Council Of Idaho • Family Health Services • Glenns Ferry Health Center • Grand Peaks Medical Dental • Health West, Inc. • Heritage Health • Kaniksu Health Services • Marimn Health • Terry Reilly Health Services • Valley Family Health Care • Clackamas County Community Health • Coast Community Health Center • Columbia River Community Health Services • Community Health Centers Of Benton And Linn Counties • Community Health Centers Of Lane County • Klamath Health Partnership, Inc. • La Clinica • La Pine Community Health Center • Lincoln County Health And Human Services • Mosaic Medical • Multnomah County Health Department • Native American Rehabilitation Association Of The Nw, Inc. • Neighborhood Health Center • Northwest Human Services • Ochin • One Community Health • Outside In • The Rinehart Clinic • Richmond Clinic, Oregon Health And Sciences University • Rogue Community Health • Siskiyou Community Health Center • Tillamook County Health Department And Family Health Center • Umpqua Community Health Center • Virginia Garcia Memorial Health Center • Wallace Medical Concern • Waterfall Community Health Center • Winding Waters Clinic • American Cancer Society • Arcora Foundation • Columbia Basin Health Association • Chas Health • Community Health Care • Community Health Center Of Snohomish County • Community Health Of Central Washington • Community Health Plan • Country Doctor Community Health Centers • Cowlitz Family Health Center • Family Health Centers • Healthpoint • International Community Health Services • Lake Roosevelt Community Health Centers • Mattawa Community Medical Clinic • Moses Lake Community Health Center • National Network Of Libraries Of Medicine/Pacific Northwest Division • Naturopathic Academy Of Primary Care Physicians • N.e. Washington Health Programs • Neighborcare Health • North Olympic Healthcare Network • Peninsula Community Health Services • Public Health • Seattle And King County • Sea Mar Community Health Centers • Seattle Indian Health Board • Tri-Cities Community Health • Unity Care Nw • Valley View Health Center • Yakima Neighborhood Health Services • Yakima Valley Farm Workers Clinic • National Center For Farmworker Health (Tx) Aleutian Pribilof Islands Association • Maniilaq Association • Norton Sound Health Corporation • Seldovia Village Tribe (Svt) • Skagway, City Of (Dahl) • Yukon-Kuskokwim Health Corporation • Benewah Medical Center • Family Medicine Residency Of Idaho • North Custer Hospital Dis (Challis) • Shoshone-Bannock Tribes Of The Fort Hall Reservation Of Idaho • Adapt (South River) • Asher Community Health Center • Central City Concern • White Bird Clinic • The N. A. T. I. V. E. Project • New Health Programs Association HEALTH for all 2018 Spring Primary Care Conference + Annual Membership Meeting MAY 19–22, 2018 PORTLAND, OREGON CONFERENCE PROGRAM www.NWRPCA.org Alaska · Oregon · Idaho · Washington In partnership with
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COMMUNITY:

Anchorage Neighborhood Health Center • Benewah Medical Center • Bethel Family Clinic • Bristol Bay Area Health Corporation • Camai Community Health Center • Council Of Athabascan Tribal Governments • Cross Road Medical Center • Eastern Aleutian Tribes • Girdwood Health Clinic, Inc. • Ilanka Community Health Center • Iliuliuk Family And Health Services • Interior Community Health Center • Kodiak Area Native Association • Kodiak Community Health Center • Mat-Su Health Services • Peninsula Community Health Services Of Alaska • Southeast Alaska Regional Health Consortium • Seward Community Health Center • Southcentral Foundation • Sunshine Community Health Center • Tanana Chiefs Conference • Yakutat Community Health Center • Yukon Kuskokwim Health Corporation • Adams County Health Center • Community Council Of Idaho • Family Health Services • Glenns Ferry Health Center • Grand Peaks Medical Dental • Health West, Inc. • Heritage Health • Kaniksu Health Services • Marimn Health • Terry Reilly Health Services • Valley Family Health Care • Clackamas County Community Health • Coast Community Health Center • Columbia River Community Health Services • Community Health Centers Of Benton And Linn Counties • Community Health Centers Of Lane County • Klamath Health Partnership, Inc. • La Clinica • La Pine Community Health Center • Lincoln County Health And Human Services • Mosaic Medical • Multnomah County Health Department • Native American Rehabilitation Association Of The Nw, Inc. • Neighborhood Health Center • Northwest Human Services • Ochin • One Community Health • Outside In • The Rinehart Clinic • Richmond Clinic, Oregon Health And Sciences University • Rogue Community Health • Siskiyou Community Health Center • Tillamook County Health Department And Family Health Center • Umpqua Community Health Center • Virginia Garcia Memorial Health Center • Wallace Medical Concern • Waterfall Community Health Center • Winding Waters Clinic • American Cancer Society • Arcora Foundation • Columbia Basin Health Association • Chas Health • Community Health Care • Community Health Center Of Snohomish County • Community Health Of Central Washington • Community Health Plan • Country Doctor Community Health Centers • Cowlitz Family Health Center • Family Health Centers • Healthpoint • International Community Health Services • Lake Roosevelt Community Health Centers • Mattawa Community Medical Clinic • Moses Lake Community Health Center • National Network Of Libraries Of Medicine/Pacific Northwest Division • Naturopathic Academy Of Primary Care Physicians • N.e. Washington Health Programs • Neighborcare Health • North Olympic Healthcare Network • Peninsula Community Health Services • Public Health • Seattle And King County • Sea Mar Community Health Centers • Seattle Indian Health Board • Tri-Cities Community Health • Unity Care Nw • Valley View Health Center • Yakima Neighborhood Health Services • Yakima Valley Farm Workers Clinic • National Center For Farmworker Health (Tx) Aleutian Pribilof Islands Association • Maniilaq Association • Norton Sound Health Corporation • Seldovia Village Tribe (Svt) • Skagway, City Of (Dahl) • Yukon-Kuskokwim Health Corporation • Benewah Medical Center • Family Medicine Residency Of Idaho • North Custer Hospital Dis (Challis) • Shoshone-Bannock Tribes Of The Fort Hall Reservation Of Idaho • Adapt (South River) • Asher Community Health Center • Central City Concern • White Bird Clinic • The N. A. T. I. V. E. Project • New Health Programs Association

HEALTH for all

2018 Spring Primary Care Conference + Annual Membership Meeting

MAY 19–22, 2018PORTLAND, OREGON

CONFERENCE PROGRAM

www.NWRPCA.org

Alaska · Oregon · Idaho · Washington

In partnership with

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This year’s theme, We the Community: Health for All, both celebrates the community health movement and motivates us to work even harder together toward our shared goal of health equity. Every spring, community health administrators and staff, along with partners from allied organizations, come together from across the NW to share ideas, to learn from one another and to create and pursue opportunities for innovation and growth. This year, as part of our two-day Population Health Management Track jointly sponsored with the Arizona Alliance of Community Health Centers, we’re particularly delighted to welcome our health center and PCA colleagues from Arizona. We consider this just the “beginning of a beautiful friendship” — to quote from the movie Casablanca — between the two organizations and respective health center leaders.

The line-up of sessions, plenaries and networking events this time around is, in my opinion, outstanding; we trust you’ll feel similarly by the end. We “kick it all off” at the opening plenary with Kay Frances, a nationally known motivational humorist and author who combines her standup comedy and educational message to “lighten up, stress less and take care of ourselves.” At Monday’s plenary, we welcome Andy Principe, President of Starling Advisors; Joe Gallegos, Senior Vice President, Western Region for NACHC; and HRSA representatives Suma Nair, Director, Office of Quality Improvement and John Graham, Regional Director for Region X, as our four nationally recognized keynoters. And we close the conference on Tuesday with Dr. Jack Dillenberg, Dean Emeritus of A.T. Still University’s Arizona School of Dentistry & Oral Health, and our Annual Membership Meeting and Awards Ceremony.

Thank you for joining us here in Portland. And thanks to all the wonderful presenters, sponsors, exhibitors, planning partners and our own NWRPCA staff for the effort, energy and dedication required to “pull this off." We hope you find your time here both productive and fun. We look forward to working with you as NWRPCA members long after this conference ends. Enjoy and please feel free to reach out to the NWRPCA team if there’s anything we can do to help meet your conference needs!

Bruce Gray Chief Executive Officer NWRPCA

Welcometo beautiful Portland, the City of Roses, and to our annual Region X Spring Primary Care Conference!

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SATURDAYConference Registration & Continental Breakfast7:30–8:30 a.m.Lower Level 1, Ballroom

Opening Plenary 8:30–10 a.m.Lower Level 1, Ballroom

Break 10–10:30 a.m.Lower Level 1, Ballroom Foyer

Conference Sessions10:30 a.m.–12 p.m.Lower Level 1

Lunch on Your Own12–1:30 p.m.

Conference Sessions1:30–3 p.m.Lower Level 1

Break 3–3:30 p.m.Lower Level 1, Ballroom Foyer

Conference Sessions3:30–5 p.m.

Welcome Reception (drinks & hors d’oeuvres)5:30–7:30 p.m.2nd Floor, Mount Hood Room

SUNDAYConference Registration & Continental Breakfast7:30–8:30 a.m.Lower Level 1, Ballroom

Conference Sessions8:30–10 a.m.Lower Level 1, Ballroom

Break with Exhibitors10–10:30 a.m.Lower Level 1, Ballroom Foyer

Governance Track Roundtable Lunch12–1:15 p.m.Lower Level 1, Salon B & C

Lunch on Your Own 12–1:30 p.m.

Conference Sessions1:30–3 p.m.Lower Level 1, Ballroom

Break with Exhibitors3–3:30 p.m.Lower Level 1, Ballroom Foyer

Conference Sessions3:30–5 p.m.Lower Level 1, Ballroom

NWRPCA Board of Directors Meeting4:30–6:30 p.m.Main Lobby, Columbia Room

Wine Tasting Receptions (Brought to you by Scribe-X & NWRPCA)Reception 1: 5:30–7:30 p.m.Reception 2: 8–10 p.m.Offsite (RSVP required, meet in hotel lobby 5:15 p.m. or 7:45 p.m. for Shuttle departure)

MONDAYConference Registration & Continental Breakfast7:30–8:30 a.m.Lower Level 1, Ballroom

Keynote Plenary8:30–10 a.m.Lower Level 1, Ballroom

Break with Exhibitors10–10:30 a.m.Lower Level 1, Ballroom Foyer

Conference Sessions10:30–12 p.m.Lower Level 1, Ballroom

Lunch on Your Own or Networking Roundtable Lunches 12– 1:15 p.m.Lower Level 1Refer to program for specific meeting rooms.

Break with Exhibitors 1:15–1:30 p.m.Lower Level 1Ballroom Foyer

CHC Tour at Outside In (RSVP required)1:30–3 p.m.Meet in the hotel lobby at 1:15 p.m.

Conference Sessions1:30–3 p.m.Lower Level 1, Ballroom

Dessert Break with Exhibitors3–3:30 p.m.Lower Level 1, Ballroom Foyer

Conference Sessions3:30–5 p.m.Lower Level 1, Ballroom

Networking & Raffle Reception (drinks & hors d’oeuvres) 5–6 p.m.Lower Level 1, Ballroom Foyer

Quiet Time with NACHC 6–7 p.m.Lower Level 1, Eugene Room

TUESDAYConference Registration & Continental Breakfast7:30–8:30 a.m.Lower Level 1, Ballroom

Conference Sessions8:30–10 a.m.Lower Level 1, Ballroom

Break 10–10:30 a.m.Lower Level 1, Ballroom Foyer

Conference Sessions10:30–12 p.m.Lower Level 1, Ballroom

Annual Membership Lunch Meeting & Awards Ceremony (All invited)12:15–2 p.m.Lower Level 1, Ballroom

at a glanceCONFERENCE AGENDA

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grants U58CS06846 and U58CS06861, “S/RPCAs,” total award $1,470,000, with 47 percent of program funded by nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Welcome

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We are grateful for the support of our sponsors.

NWRPCA’s Annual Sponsors

BRONZECOPPER

PLATINUM GOLD

Conference Sponsors

PRESENTING SPONSOR

ADVOCATE SPONSORS

IT/OPERATIONS EDUCATION TRACK SPONSOR

CONTINUING NURSING EDUCATION SPONSOR

CHAMPION SPONSORS

BEHAVIORAL HEALTH EDUCATION TRACK

CFO ROUNDTABLE LUNCH SPONSOR

QUALITY EDUCATION TRACK SPONSOR

FINANCE EDUCATION

TRACK SPONSOR

WINE TOUR SPONSOR

SILVER WELCOME RECEPTION SPONSOR

BRONZE WELCOME RECEPTION SPONSOR

Shared Revenue Partnerships

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SPEAKER DISCLOSURESJENNIFER JOHNSTON, Highline CollegeRAY JORGENSEN, PMGCHERYL MIKKELSEN, Medical Practice Management ServicesNORA O'BRIEN, Connect Consulting Services

SPEAKERS

NACHC & HRSA UPDATES JOSEPH D. GALLEGOS, MBA, Western Region, Senior Vice President, National Association of Community Health Centers SUMA NAIR, MS, RD, Director, Office of Quality Improvement, Bureau of Primary Health Care, U.S. Department of Health and Human Services JOHN GRAHAM, Regional Director, Region 10, U.S. Department of Health and Human Services

ANDREW PRINCIPE, President, Starling Advisors

Andrew Principe, President of Starling Advisors, is an experienced consultant providing advisory services to many Primary Care Associations, Federally Qualified Health Centers, and other Primary Care Safety Net providers throughout the country. His work centers on opportunities and risks that health reform initiatives present to Safety Net Primary Care Providers.

This includes formation of ACOs, facilitating negotiations between providers and Medicaid Managed Care organizations, and the securing of awards under the CMS Innovations Institute and other funding sources to implement EHR, Analytics, TeleHealth and other Health IT solutions. Prior to founding Starling Advisors, Andrew served as Vice President of Strategy at Arcadia Solutions and as Director of Clinical Computing for the Joslin Diabetes Center in Boston, MA.

Andrew lives in the historic Treme neighborhood in New Orleans, and is active with several non-profit organizations focused on the preservation of American music and culture.

KEYNOTE PLENARY Monday, May 21

KAY FRANCES

Motivational Humorist Kay Frances has shared her message to “lighten up, stress less and take care of ourselves” in 40 states and Canada for over 30 years. She holds an MBA and a degree in Health and Physical Education.

When it comes to humor, Kay is the "real deal" having performed as a professional standup comedian for many years and appearing on a number of national television and radio programs. Additionally, Kay is the

author of “The Funny Thing about Stress.” Kay combines her years of standup comedy, her education and her passion for her message to offer clean, relatable humor-with-a-message at its funniest! Your stress levels will thank you!

OPENING SPEAKER Saturday, May 19

Keynote

JACK DILLENBERG, DDS, MPH

Dr. Dillenberg is Dean Emeritus of A.T. Still University’s Arizona School of Dentistry & Oral Health (ASDOH) after serving fifteen years as the Inaugural Dean. He received his Master’s Degree in Public Health from the Harvard School of Public Health and completed his dental education at New York University, College of Dentistry.

Prior to joining ASDOH, Dr. Dillenberg was Associate Director for public health programs in the California Department of Health Services. He also served in several capacities in the Arizona Department of Health Services, including Director and Assistant Director for the Division of Family Health Services.

Dr. Dillenberg recently served on the Board for the American Association of Developmental Medicine and Dentistry and is their Global Ambassador. He is the Board Chairman for the Center for Oral Health and Board Chair for the Brighterway Institute.

CLOSING SPEAKER Tuesday, May 22

BRONZE WELCOME RECEPTION SPONSOR

HEATHER NIEMI, Agatha ConsultingJORGE CUADROS, UC Berkeley Optometric Eye CenterBENJAMIN THELONIOUS FELS, Macro-Eyes, Inc.RICK LOUIS PESANO, Quest Diagnostics

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SPONSORS & EXHIBITORSMeet our

CARDINAL HEALTHANNUAL NWRPCA BRONZE SPONSOR

340B & Pharmaceutical DistributionAt Cardinal Health, we strive to provide high quality healthcare and pharmacy access to patients in their communities. Community health centers offer a comprehensive approach to keeping patients healthy by striving to be true Patient-Centered Medical Homes. Cardinal Health is proud to serve your community with local, passionate healthcare professionals. Visit us at Table 1.Terri Terault, Pharmacy Business Consultant for Community Health Centers, Western [email protected]

CERTINTELL OPERATIONS/IT EDUCATION TRACK SPONSOR

TelehealthCertintell is a web based/app based HIPAA Compliant virtual visit/telehealth platform specifically built for FQHC’s. Through its robust virtual care management system, Certintell can decrease no–shows, improve outcomes and practice efficiencies. We are NWRPCA’s telehealth partner and can help AIMS Grant recipients with their telehealth/HIT strategy. Huzefa, Vice [email protected]

CHCI-WEITZMAN INSTITUTENWRPCA PARTNER

Workforce EducationThe Weitzman Institute is a research, training and innovation center embedded in a high performing FQHC: Community Health Center, Inc. This front line experience fostered in primary care inspired the creation of programs that are supporting health centers across the country. Stop by to learn more about case-based distance learning for primary care teams through Weitzman ECHO, asynchronous electronic consultations from primary care to specialist eConsults, training programs for health professionals including: Postgraduate Residency Training Programs: Medical Assistant Training (NIMAA) and Workforce Development Interventions (NCA). The Weitzman Institute acts as a catalyst for changing and improving the way primary care is delivered by providing specific interventions and resources focused on workforce development, practice enhancement and technical assistance. Visit us at Table 11.Kerry Bamrick, Director, Postgraduate Residency Training, CHC, Inc. and its Weitzman [email protected]

CLIFTONLARSONALLENANNUAL NWRPCA SPONSOR

Public AccountantsCLA is a professional services firm delivering integrated wealth advisory, outsourcing, and public accounting capabilities to help clients succeed professionally and personally. This allows us to serve clients more completely and offer our people diverse career opportunities. We believe professional relationships can be personal and those connections can last for generations. Watch our video to discover how we can help — every step of the way. Visit us at Table 22.Kyla Delgado, CPA, Principal Healthcare [email protected]

COMMONWEALTH PURCHASING GROUPTech E-Health ProviderCommonWealth Purchasing Group (CPG) is the leading group purchasing organization for community health centers and other community-based non-profit organizations, offering members significant savings on supplies, services, and products they purchase every day. CPG's goal is to enable and support their mission, and provide a high level of service and assistance to their procurement departments and administration. Visit us at Table 29.Phil DuBois, Senior Member Resource [email protected] Hamer, Member and Vendor [email protected]

COMMUNITY HEALTH PLAN OF WASHINGTON ANNUAL NWRPCA BRONZE SPONSOR

Health Center products, group purchasing, insurance, and staffingCHPW was founded in 1992 and provides access to quality Medicaid and Medicare coverage to underserved residents of Washington State. CHPW became the first not-for-profit managed care plan in Washington founded by Community Health Centers and today is still the only not-for-profit to provide managed care to Washington’s Apple Health members. Visit us at Table 21.Nici Feldhammer, Manager, Business [email protected]

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SPONSORS & EXHIBITORS

SPONSORS & EXHIBITORS COMMUNITY HEALTH VENTURES SHARED REVENUE PARTNER andCHAMPION CONFERENCE SPONSOR

Group PurchasingCommunity Health Ventures (CHV) is the business development affiliate of the National Association of Community Health Centers (NACHC). CHV was founded under direction of health center leadership and tasked with creating solutions to the economic pressures facing health centers. By negotiating GPO, staffing, benefit agreements and more, CHV helps health centers reduce costs and remain competitive. Visit us at Table 25.Alex Vactor, Account [email protected]

COVERYSBRONZE WELCOME RECEPTION SPONSOR

Medical Professional Liability InsuranceCoverys is a leading medical malpractice insurance carrier dedicated to helping its policyholders anticipate, identify, and manage risk. With an emphasis on physician education and patient safety, Coverys provides innovative risk management services and resolute claim defense to the healthcare community. Visit us at Table 8.Sheraine Fitzgerald, Business Development Leader [email protected]

THE DELTA COMPANIES Staffing and RecruitingThe Delta Companies offer permanent and temporary staffing for physicians, nursing, allied, and therapy healthcare professionals. Visit us at Table 18.Patricia Van Brocklin, Principal Advertising SpecialistPVanBrocklin@thedeltacompanies.comwww.thedeltacompanies.com

DENTAQUEST ADVOCATE CONFERENCE SPONSOR

Dental HealthDentaQuest is the most experienced administrator of government-sponsored dental benefits in the nation, currently managing dental programs for more than 24 million members across 34 states. Our mission is to improve the oral health of all — which we support through effective and efficient programs that emphasize improved quality and outcomes. Visit us at Table 2.Nick Barnette, Network Project & Communications [email protected]

DZAPublic AccountingDZA provides accounting, audit, cost report, and 990 services to a range of healthcare organizations, including community health centers. As specialists, not generalists, our team of experienced professionals hone their skills to uniquely fulfill the needs of each client. DZA offers depth and breadth in our knowledge of community health centers expertly serving those within the industry. Visit us at Table 5.Shaun Johnson, [email protected]

ECHOSENS NORTH AMERICADiagnostic TechnologyEchosens is the worldwide manufacturer and distributor of FibroScan®. FibroScan is the first and only point of care device specifically developed and FDA-Cleared as an aid to diagnosis and monitoring of adult patients with liver disease, as part of an overall assessment of the liver. FibroScan has been extensively studied across over 1,780 peer reviewed publications and is the reference for many etiology treatment guidelines. Visit us at Table 15. Quinn [email protected]/en

EQUISCRIPT 340B Equiscript works with eligible covered entities to create and manage a 340B home delivery pharmacy that complements our clients’ existing 340B pharmacy programs. We identify high-need, high-risk 340B-eligible patients who are not being serviced by in-house or contract pharmacies and offer those patients a no-charge home delivery option where we provide personalized service through a team of dedicated Patient Care Advocates. The program provides 340B covered entities with a targeted approach to increasing their 340B capture rate while supporting patient compliance and increasing continuity of care. Visit us at Table 14. Nicholas Hearn, Regional Sales [email protected]

EYEPACS, LLC Telemedicine, Diabetic RetinopathyEyePACS, LLC, provides a telemedicine solution to detect diabetic retinopathy — the leading cause of blindness among working age adults — in primary care clinics. Serving more than 360 health centers nationwide, EyePACS has certified retinal image readers in 40 states who review uploaded images and render an expert recommendation within hours. Visit us at Table 24. Amanda Joslin, Program [email protected]

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JONES & ROTHAccounting & CPA Jones & Roth CPAs and Business Advisors has a team that specializes in working with FQHC organizations. Our understanding of the FQHC environment, and our specific expertise from both the nonprofit and federal government compliance perspective make us a great partner for Federally Qualified Health Centers.We combine our nonprofit accounting expertise with years of experience working with medical clinics who rely on payer system revenue streams. This unique capability has proven very valuable to the FQHC community. While many FQHCs initially come to us for help on an immediate concern, we typically end up consulting with the organization’s staff or board members to increase the organization’s wellness over the long term. At Jones & Roth we speak FQHC! Visit us at Table 13.Brian Newton, [email protected]

MCKESSONSHARED REVENUE PARTNER

Group Purchasing, Medical SuppliesMcKesson delivers comprehensive services and business tools to help alleviate administrative burdens and allow better funds management to help your center be more efficient. We offer a wide breath of medical supplies including pharmaceuticals, laboratory supplies and medical equipment, so community health centers can offer primary care, dental, vision, mental health, pharmacy and other services. Michele Luciano, [email protected]

MED TECH SOLUTIONSHealth Care ITMed Tech Solutions (MTS) is a leading, national healthcare IT services company that offers simple and cost-effective HIT and Cloud solutions. MTS is headquartered in Valencia, California, with regional offices in St. Louis, Missouri, Minneapolis, Minnesota, and Morristown, New Jersey. Visit us at Table 30.Steve Marino, Sales Executive, Western [email protected]

MERCES CONSULTING GROUPFinancial ConsultingMerces Consulting helps FQHCs optimize their compensation spending by designing better jobs, creating pay structures that attract and retain the best staff, and making sure that pay is aligned with performance. For executives, providers and staff: “the right jobs, the right people, the right pay.” Visit us at Table 27.Edmund B. Ura, JD, President & Sr. [email protected]

HENRY SCHEINSHARED REVENUE PARTNER

Group Purchasing, Medical SuppliesHenry Schein, Inc. (Nasdaq: HSIC) is the world's largest provider of health care products and services to office-based dental, animal health and medical practitioners. The company also serves dental laboratories, government and institutional healthcare clinics, and other alternate care sites. A Fortune 500® Company and a member of the S&P 500® and the Nasdaq 100® indexes, Henry Schein employs more than 22,000 Team Schein Members and serves more than 1 million customers. The company offers a comprehensive selection of products and services, including value-added solutions for operating efficient practices and delivering high-quality care. Henry Schein operates through a centralized and automated distribution network, with a selection of more than 120,000 branded products and Henry Schein private-brand products in stock, as well as more than 180,000 additional products available as special-order items. The company also offers its customers exclusive, innovative technology solutions, including practice management software and e-commerce solutions, as well as a broad range of financial services. Russell Steinquist, Strategic Account [email protected]

HOMESTREET BANK ANNUAL NWRPCA COPPER SPONSOR andADVOCATE CONFERENCE SPONSOR

Commercial Banking and Mortgage LendingWorking with and funding communities since 1921.Gregory Gratz, FVP, Sr. Relationship [email protected]

JACKSON PHYSICIAN SEARCHSHARED REVENUE PARTNER and SILVER WELCOME RECEPTION SPONSOR

Physician RecruitmentJackson Physician Search specializes in permanent recruitment of physicians and advanced practice providers to hospitals and health systems across the United States. The company is recognized for its track record of results built on their clients’ trust in the skills of their team and the transparency of their process. Visit us at Table 7.Sharon Thompson, Business Development Manager sthompson@JacksonPhysicianSearch.comwww.jacksonphysiciansearch.com

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SPONSORS & EXHIBITORS

MERINO COMPUTER CONCEPTS, INC.IT ManagementMerino Computer Concepts, Inc. provides 24/7 live helpdesk and application support, 24/7 proactive monitoring, and IT infrastructure design and deployment for both on-premise and cloud environments. Visit us at Table 10.Chris Conlee, Chief Operating Officer [email protected]

NP SOLUTIONSFinance TechnologyNP Solutions helps non-profit health clinics become profitable by offering fund accounting, fund raising and grant management software. Please stop by our table learn about our definition of profitable and see why so many other health clinics benefit from a relationship with NP Solutions. Visit us at Table 6.Bill O’Brien, Business [email protected]

NEENAN ARCHISTRUCTIONArchitecture and DesignAt The Neenan Company, we create exceptional clinics through our integrated approach. We believe that when the right approach is taken to design and construction, the outcome is a facility that serves as a change agent to significantly improve operational flexibility, staff productivity, patient satisfaction and image in the community. Visit us at Table 28.Steven R. Barnes, CHC Client [email protected]

NONSTOP WELLNESSPartial Self-Insurance & Employee BenefitsNonstop delivers premium health care benefits to community health centers through its Nonstop Wellness program. Nonstop Wellness is a partially self-insured program that deflates the annual costs of healthcare while improving employee benefits and eliminating all deductible costs, copays, and coinsurance — with no cost-shifting, changes to carriers, or unnecessary financial obstacles. Visit us at Table 16.Jody Schreffler, Director of Corporate & Community [email protected]

NORTHWEST OSTEOPATHIC MEDICAL FOUNDATIONOsteopathic medicineThe Northwest Osteopathic Medical Foundation is a public charity created from the sale of the Eastmoreland Hospital in Portland OR. Our mission is to “advance wellness through the Osteopathic approach.” We serve the public through awareness of the Osteopathic approach to wellness; serve physicians through education that supports the osteopathic approach to wellness; and advance the Principles of Osteopathic Medicine as the best way to achieve wellness. Visit us at Table 9.David Tate, Executive [email protected]

OCHINHealth IT Solutions and Professional ServicesOCHIN is a health information and innovation network serving over 500 organizations comprised of more than 10,000 clinicians nationwide. OCHIN’s Health IT solutions and professional services improve the integration and delivery of health care services across a wide variety of practices—with an emphasis on community health centers, small practices, and critical access and rural hospitals. Visit us at Table 9.www.ochin.org

PFIZER VACCINESWe work with a team of Pfizer colleagues who support Quality immunization priorities aligned to PCMH, FQHC's, ACO's, CCO’s and HEDIS. Currently, we have several non-branded vaccine and adherence initiatives that can support Population Health and Quality programs. Based on what the focus at your health center is, we could explore if we would be able to support your priorities around immunizations and preventative care visits. A number of our resources align to patient outreach and reminder recall and support efforts across the lifespan, including pediatric, adolescent, and adult age groups. These resources are fully funded, HIPAA compliant and are not Sunshine Act reportable.Visit us at Table 20.Pat Corcoran, Vaccine Account [email protected]

PMG, INC.Financial ServicesPMG offers revenue enhancement solutions built especially for FQHCs including full-service revenue cycle management as well as provider enrollment and credentialing. PMG has served the FQHC market for over 20 years, and we share an understanding of your complex billing and reimbursement world. PMG gets results for our clients, including enhanced revenue, quickened cash flow and the alleviation of the headaches associated with the revenue cycle. In fact, PMG has produced increased revenue for every one of our clients. Why shouldn't you be next? Visit us at Table 3.David Paragone, Regional Account [email protected]

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VERITY SOLUTIONS340B AdministrationVerity Solutions is an award-winning provider of 340B software and services. We understand the importance of maintaining and growing the hospital's relationship with both independent and chain pharmacies in your community. With increasing complexity and a constant demand for audit preparedness, covered entities are having a tougher time managing the program. Which is why now, it’s more important than ever to have the right solution … and the right partner. Verity can help you maximize the performance and agility of your 340B program with a host of service and product offerings designed to help you stretch your scarce resources, foster compliance, respond quickly to changing regulations, and maximize your savings. Verity is your comprehensive solution for split billing, contract pharmacy, specialty/hemophilia contract pharmacy, audit and compliance services, compliance management and tracking tools, and purchase optimization analytics. Visit us at Table 31.Kartik Joneja, Sales [email protected] Short, VP, [email protected]

WA STATE ALLIED HEALTH CENTER OF EXCELLENCEBEHAVIORAL EDUCATION TRACK SPONSOR

Workforce DevelopmentAs a statewide Center of Excellence (COE) we have the distinction of working with colleges to quickly develop flexible, quality education and training programs. These responsive programs help drive our regional economy by maximizing skilled labor in our workforce through short-term educational programs. In order to build a competitive workforce in a global economy, The COE relies on our industry stakeholders to help lead collaborative and coordinated education and training efforts within Washington State.Andrea Bach, Marketing Manager, UnitedHealthcare Community [email protected]/coe/default.html

WIPFLI LLP | HFS CONSULTANTSANNUAL NWRPCA BRONZE SPONSOR and CHAMPION CONFERENCE SPONSOR

Finance, Operations, Executive Placement & Residency Pro-gramsWipfli LLP/HFS Consultants offers a multidisciplinary approach to find innovative solutions to demanding health care issues for FQHCs, RHCs, medical groups, and health systems in financial, clinical, management, operational, and regulatory areas. We also set up physician residency programs. Other services include audit, tax, IT, and web design/marketing services. Visit us at Table 23.Kiki Nocella, Ph.D, MPA, EHCI Lead [email protected]/healthcare

QUEST DIAGNOSTICSANNUAL NWRPCA PLATINUM SPONSOR andQUALITY EDUCATION TRACK SPONSOR

Data Diagnostics & Lab ServicesQuest Diagnostics empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 43,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives. Visit us at Table 19.Jeff Behrend, Commercial DirectorJeffrey.J.Behrend@QuestDiagnostics.comwww.QuestDiagnostics.com

SCRIBE-XWINE TASTING EVENT SPONSOR andBRONZE WELCOME RECEPTION SPONSOR

Staffing & RecruitmentImprove the practice of medicine in our community by providing highly-capable and exceptionally-trained scribes to physicians and other healthcare providers. Maximize the impact each scribe can have through a commitment to remain hyper-local, and hyper-focused on each individual physician we support. Visit us at Table 17.Sharon Gredvig, Executive Sales [email protected]

SYNCTIMESPatient WorkflowSyncTimes patient flow technology enables outpatient health centers to reduce cycle times, enhance exam room utilization, increase provider productivity, and improve patient satisfaction through dynamic care team communication. Visit us at Table 12.Alan Bucknum, [email protected]

UNITED HEALTHCARE COMMUNITY PLANCONFERENCE PRESENTING SPONSOR

Health InsuranceUnitedHealthcare Community Plan is pleased to provide Washington Apple Health (Medicaid), Special Needs Plans, and other federal and state health care programs to individuals and families throughout the State of Washington. Visit us at Table 26.Amina Suchoski, Executive Director and Vice President of [email protected]

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SPONSORS & EXHIBITORS

Continuing Medical Education (CME)Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Past conferences have offered up to 25.5 credit hours.

Continuing Nursing Education (CNE)Continuing Nursing credit will be awarded through Migrant Clinicians Network. Migrant Clinicians Network is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing Professional Education (CPE)NWRPCA is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org. Delivery Method of all courses: Group-Live; Program Level: Basic & Overview; Conference participants can earn up to: 10.5 CPE credits in Business Management Organization field of study.Prerequisites: None; Who should attend? CEOs, CFOs, Operation Managers, Finance department professionals, Education Directors, Managers with a finance or fiscal capacity.Advance Preparation: All material will be posted on NWRPCA Learning Vault. Access to session information, including supporting documents, can be found here: www.nwrpca.org/my-events.

National Association of Social Workers (NASW)This workshop has been approved by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors. NWRPCA Provider number is #1975-415.

Continuing Dental Education (CDE)Northwest Regional Primary Care Association is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 6/1/2017 to 5/31/2019. Provider ID# 216328

Continuing Governance Credit (GOV)NACHC will allow credit for NWRPCA Governance Credits (up to 6 credit hours) applied toward the NACHC Governance Certificate. If you are enrolled in the NACHC Board Governance program, please log into mylearning.nachc.com to see your progress. Please contact Narine Hovnanian at [email protected] for more information.

Continuing Human Resources EducationNWRPCA has applied for approval for certification credit hours toward Professional in Human Resources (PHR) and Senior Professional in Human Resources (SPHR) recertification through the Human Resource Certification Institute (HRCI). For more information about certification or recertification, please visit the HRCI homepage at www.hrci.org.

CONTINUING EDUCATION UNITSCONTINUING EDUCATION PROCESSIn order to receive CEU’s, all attendees are responsible to sign in and sign out at each session during the conference. Conference attendees will be sent an email after the conference with instructions on how to process your CEU online. You will be responsible for completing the process online and printing your certificate.

Reuse: We distribute reusable bags to carry conference materials. At the end of the conference, you may choose to drop off your bag at the registration desk so it can be reused/recycled.

Go GreenRecycle: Please leave your recyclables in designated containers after the conference. We encourage you to drop off your nametag holder at the registration desk for reuse at the next conference.

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SATURDAY, MAY 19, 20187:30–8:30 a.m. • Breakfast & Registration • Lower Level 1, Ballroom

8:30–10 a.m. • Opening Plenary: Kay Frances, America’s Funniest Stressbuster • Lower Level 1, Ballroom

10–10:30 a.m. • Break • Lower Level 1, Ballroom Foyer

10:30 a.m.–12 p.m. • Conference Sessions

COMMUNITY HEALTH

IMPROVEMENTWORKFORCE/HR GOVERNANCE FINANCE QUALITY

1 – Understanding and Supporting Immigrants More in the Current Climate

Lorena Sprager and Elizur Bello, Nuestra Comunidad Sana of The Next Door

2 – Finding Solutions: Organizational Strategies to Reduce Burnout

Allison Abayasekara, Association of Clinicians for the Underserved (ACU); Ann Hogan, Ann Hogan Consulting

3 – Community Health Centers 101

Seth Doyle, Northwest Regional Primary Care Association

4 – Improving Delivery of Primary Care By Leveraging All Payment Methods

Marcelle Thurston & Maranda Varsik, CareOregon

5 – Beyond Advanced Access: An Interdisciplinary Team Improves Access to Primary Care Appointments By Implementing a Standby Model Using Lean Principles

Brianna Sustersic & Billie Kay Stafford, Central City Concern

SALON A SALON D SALON B & C SALON I SALON G & H

12–1:30 p.m. • Lunch on your own

1:30–3 p.m. • Conference Sessions 6 – Profile of Community Health Workers in Region X

Feygele Jacobs, RCHN Community Health Foundation Inc.; Seth Doyle, Northwest Regional Primary Care Association

7 – Helping Your Staff Move Up Without Moving Out

Allison Abayasekara, Association of Clinicians for the Underserved (ACU); Ann Hogan, Ann Hogan Consulting

8 – From the Bottom up: Governance and Service As Tools to Build Representation and Community in FQHC

Marco Viniegra, Community Health Care

9 – 2018 Community Health Center Accounting Standards Update: Revenue Recognition, Leases, & Non-Profit Reporting

Brian Newton and Mathew Hamlin, Jones & Roth, PC

10 – Rapid Assessment: Supporting Community Health Center Continuous Quality Improvement

Heidy Robertson-Cooper, Missouri Primary Care Association; Bob Theis, Samuel U. Rodgers Health Center

SALON A SALON D SALON B & C SALON I SALON G & H

3–3:30 p.m • Break

3:30–5 p.m. • Conference Sessions11 – Returning to Our Roots: Resources & Lessons from CCI’s Sdoh Collaborative

Megan O’Brien, Center for Care Innovations

12 – Don’t Let Them Slip Through Your Fingers: Plan for Retention Today

Allison Abayasekara, Association of Clinicians for the Underserved (ACU); Ann Hogan, Ann Hogan Consulting

13 – HRSA Board Responsibilities and Fiduciary Duties

Brian Osberg, Gallagher Integrated

14 – Aligning Provider Compensation Toward Value Based Payments

Malcolm Butler and David Olson, Columbia Valley Community Health

15 – Data Driven Quality

Jennifer Calohan, Centerprise Inc.

SALON A SALON D SALON B & C SALON I SALON G & H

5:30–7:30 p.m. • Welcome & Networking Reception • 2nd Floor, Mount Hood Room

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SESSION SCHEDULESUNDAY, MAY 20, 2018

7:30–8:30 a.m. • Breakfast & Registration • Lower Level 1, Ballroom

8:30–10 a.m. • Conference Sessions

BEHAVIORAL HEALTH

EMERGENCY PREPAREDNESS &

RESPONSEGOVERNANCE FINANCE POPULATION HEALTH

16 – Preparing Front Line Healthcare Staff for Behavioral Health Integration

Jennifer Johnston, Highline College; Melissa Glenn, Valley Cities

17 – How to Run Your Emergency Operations Center

Kimberly Baldwin, Wipfli/HFS Consultants

18 – Health Center Boards: Directing with Data

Jonathan Chapman, Capital Link

19 – Why Clinical Coding Matters…The Impact on Future Compensation

Ray Jorgensen, PMG

20 – The Partnership Approach for Building a Shared Vision for Community Health Improvement

Michael Felix, Health Network Development Strategist

SALON A SALON D SALON B & C SALON I SALON G & H

10–10:30 a.m. • Exhibitor Break • Lower Level 1, Ballroom Foyer

10:30 a.m.–12 p.m. • Conference Sessions 21 – The Role of Certified Medical Assistants Providing Integrated Care in a Behavioral Health Setting

Constance Lieseke, Kitsap Mental Health Services

22 – Developing an after Action Report

Kimberly Baldwin, Wipfli/HFS Consultants

23 – Enhanced Board Effectiveness, Part 1: Strategic Planning & Stakeholders Engagement

Brian Osberg, Gallagher Integrated

24 – Navigating the Payer Provider Enrollment/Credentialling Super Highway

Cheryl Mikkelsen & Kristyn Dice, Medical Practice Management Services

25 – Moving to Proactive Identification and Remediation of Social Determinants of Health: Implementing a Survey at a Federally Qualified Health Center

Therese Mcintyre & Lindsey Stailing, Mosaic Medical

SALON A SALON D SALON B & C SALON I SALON G & H

12–1:30 p.m. • Lunch on your own; 12–1:15 p.m. • Governance Track Roundtable Lunch • Lower Level 1, B & C

1:30–3 p.m. • Conference Sessions 26 – Expanding Access: Integrating Medication Assisted Treatment into Primary Care Settings

Albert Carbo, Regina Bonnevie Rogers, Jennifer Kreidler-Moss, & Angela Bland, Peninsula Community Health Services

27 – Maintaining CMS Emergency Preparedness Compliance? Keys to Developing a Successful Compliance Program

Nora O'Brien and David Plance, Connect Consulting Services

28 – Enhanced Board Effectiveness, Part 2: Collaborative Governance of Community Health Parnterships

Brian Osberg, Gallagher Integrated

29 – Alternative Payment Models and the Impact on Your Financial and Operational Indicators

Kyla Delgado & Matthew Borchardt, CliftonLarsonAllen LLP

30 – Team-Based Care in a Population Health Management Model

Margaret Flinter, Community Health Center, Inc.

SALON A SALON D SALON B & C SALON I SALON G & H

3–3:30 p.m. • Exhibitor Break • Lower Level 1, Ballroom Foyer

3:30–5 p.m. • Conference Sessions31 – Provider Coaching - Moving the Performance Dots

Misha Whitfield & Malcolm Butler, Columbia Valley Community Health

32 – Meeting the Plan Testing CMS Requirement: CMS Emergency Preparedness Compliant Tabletop Exercise

Nora O'Brien, Chris Laborde & David Plance, Connect Consulting Services

33 – Enhanced Board Effectiveness, Part 3: Board Management Relationships

Brian Osberg, Gallagher Integrated

34 – Accounting and Tax Update for Community Health Centers & FQHCs

Kinman Tong & Joua Lo, Moss Adams LLP

35 – Promoting Whole Person Care through Value Based Purchasing and Community Reinvestment

Keith Brown, Community Health Plan of Washington; Rhonda Hauff, Yakima Neighborhood Health Services

SALON A SALON D SALON B & C SALON I SALON G & H

4:30–6:30 p.m. • NWRPCA Board Meeting • Main Lobby, Columbia Room

5:30–7:30 p.m.; 8–10 p.m. • Wine Tasting Event (Scribe-X Headquarters, RSVP required)

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MONDAY, MAY 21, 20187:30–8:30 a.m. • Breakfast & Registration • Lower Level 1, Ballroom

8:30–10 a.m. • Plenary with Keynoters Andy Principe, Joe Gallegos (NACHC), Suma Nair and John Graham (HRSA)Lower Level 1, Ballroom

10–10:30 a.m. • Break with Exhibitors • Lower Level 1, Ballroom Foyer

10:30 a.m.–12 p.m. • Conference Sessions

POLICY/ ENVIRONMENT WORKFORCE/HR IT/OPERATIONS INTEGRATED

SERVICESPOPULATION

HEALTH36 – NACHC Policy Update

Joe Gallegos, NACHC

37 – Training the Next Generation: Postgraduate Residency and Fellowship Training Programs in Community Health Centers

Kerry Bamrick, Community Health Center, Inc

38 – Be Deliberate: Process Improvement in Your Organization

Heather Niemi, Agatha Consulting

39 – Does Your Diabetic Retinopathy Screening Program Prevent Blindness?

Jorge Cuadros, UC Berkeley; Laurie Coleman, OCHIN

40 – Developing Population Health Skill Sets

Andy Principe, Starling Advisors

SALON A SALON D SALON B & C SALON I SALON G & H

12–1:15 p.m. • PCA Roundtable Lunch • Eugene Room

CEO Roundtable LunchSalon A

Workforce/HR Roundtable Lunch

Salon D

COO Roundtable LunchSalon B & C

Behavioral Health Roundtable Lunch

Salon I

CFO Roundtable Lunch

Salon G & H1:15–1:30 p.m. • Break with Exhibitors • Lower Level 1, Ballroom Foyer

1:30–3:30 p.m. • Community Health Center Tour at Outside In (RSVP Required, Meet at 1st floor lobby at 1:15 p.m.)

1:30–3 p.m. • Conference Sessions 41 – Serving Immigrant Patients in the Current Climate: Strategies for Community Health Centers

Gabrielle Lessard, National Immigration Law Center; Elizabeth Oseguera, California Primary Care Association; Aracely Navarro, Children’s Partnership

42 – Advancing Primary Care Leadership to Advance Primary Care

Julie Oyemaja, George Fox University; Lexy Kliewer, Lifeworks NW; Joan Fleishman, Oregon Health & Science University; Andrew Huff & Laura Fisk, Care Oregon

43 – Amazing Technology Innovations Adele Allison, DST Health Solutions; Benjamin Thelonious Fels, Macro-Eyes Health

44 – Using Integrated Care Teams to Improve Health Care and Lower Costs for High Need Patients: Partnership Health Center’s Super-Utilizer Pilot Study

Mary Jane Nealon, Charles Rourke, and Theodore Veseth, Partnership Health Center

45 – Advanced Data Analytics for Population Health

Nancy Johnson, El Rio Health; Andy Principe, Starling Advisors; Erika Cottrell, OCHIN

SALON A SALON D SALON B & C SALON I SALON G & H

3–3:30 p.m. • Dessert Break with Exhibitors • Lower Level 1, Ballroom Foyer

3:30–5 p.m. • Conference Sessions46 – The Emerging Health Care Paradigm: Select Trends & Their Implications for CHCs

Rick Pesano, Quest Diagnostics; Jennifer Stoll, OCHIN

47 – Payer’s Perspective: Through the Looking Glass

Adele Allison, DST Health Solutions

48 – Using telehealth in your communities: A review of the challenges, and examples of sustainable, creative models

Mannat Singh, Consultant; Tanya Odden, Southcentral Foundation; Huzefa D, Certintell; Agi Erickson, Weitzman Institute

49 – The Integration of Oral Health and Primary Health Care: The Pathway to Health Equity?

Kim Perry, A.T. Still University

50 – Population Health: Pulling it All Together

Andy Principe, Starling Advisors

SALON A SALON D SALON B & C SALON I SALON G & H

5–6 p.m. • Networking & Raffle Reception (drinks & hors d'oeuvres) • Lower Level 1, Ballroom Foyer

6–7 p.m. • Quiet Time with NACHC • Lower Level 1, Eugene Room

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SESSION SCHEDULETUESDAY, MAY 22, 2018

7:30–8:30 a.m. • Breakfast & Registration • Lower Level 1, Ballroom

8:30–10 a.m. • Conference Sessions

WORKFORCE/HR OPERATIONS/FINANCE WOMEN IN LEADERSHIP ORAL HEALTH51 – Workforce Satisfaction and Staff Turnover: How to recognize burnout & what to do about it Cheryl Fattibene and Tiffanie Depew, National Nurse-Led Care Consortium

52 – Advancing Value-Based Care and Reimbursement for Vulnerable Populations to Promote Health Equity

Craig Hostetler, Hostetler Group; Ariel Singer, Oregon Primary Care Association

53 – Women in Healthcare Leadership, Peer Learning Part 1

Mannat Singh, Consultant; Kelly Rondou, Northwest Regional Primary Care Association

54 – Integrating Oral Health into Primary Care

Laura McKeane, Oregon Oral Health Coalition; Karen Hall, Oral Health Education/Training Consultant

SALON A & B SALON C & D SALON I SALON G & H

10–10:30 a.m. • Break

10:30 a.m.–12 p.m. • Conference Sessions55 – Community Health Centers — the perfect “culture” to support Interprofessional Practice and Education

Dan Ferguson, WA State Allied Health Center for Excellence; Rhonda Hauff, Yakima Neighborhood Health Services

56 – The Art of Contract Negotiations

Adam Jones, Medical Practice Management Services

57 – Women in Healthcare Leadership, Peer Learning Part 2

Mannat Singh, Consultant; Kelly Rondou, Northwest Regional Primary Care Association

58 – Reducing the Risks of Dental Medicaid Compliance Audits and Other Quality Risk Issues in a Community Health Center Dental Program

Mark Koday, Yakima Valley Farm Workers Clinic

SALON A & B SALON C & D SALON I SALON G & H 12:15–2 p.m. • Annual Membership Meeting & Awards Ceremony

Jack Dillenberg, Dean Emeritus, Arizona School of Dentistry & Oral Health • Lower Level 1, Ballroom

ACCESS CONFERENCE MATERIALS ONLINEAccess to session information, including speaker bios, session materials and

supporting documents, can be found here:

www.nwrpca.org/my-events

If you're new to our learning portal, your log-in information is the email address used to register for the conference, along with the password NWRPCA. In order to keep your account secure, please reset this password as soon as possible.

If you have any questions regarding the log-in, please check with the registration desk.

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SATURDAY, MAY 19Sessions 1–5, 10:30 a.m.–12 p.m.

1 – UNDERSTANDING AND SUPPORTING IMMIGRANTS MORE IN THE CURRENT CLIMATE Track: CHI

1.5 NASW, CME, CNE

Immigrants in the United States face a harsh climate. This has a strong impact on their physical, behavioral and mental health. At the same time, this climate causes challenges for health centers as well as education and social service programs. Some immigrants are choosing not to get care or services. Some are choosing not to continue or renew services. This session will review ways in which health centers, as well as education and service programs, can assist immigrants and their families by establishing connections that foster safety and trust.

Learning Objectives:

1. Allow peers to share the effects of the current climate on immigrants they are seeing in their health centers and service programs.

2. Report on common physical and emotional reactions that can be a result of the trauma of migration.

3. Share free, culturally relevant resources that offer strategies to better support immigrants.

Presenters: Lorena Sprager and Elizur Bello, Nuestra Comunidad Sana of The Next Door

2 – FINDING SOLUTIONS: ORGANIZATIONAL STRATEGIES TO REDUCE BURNOUTTrack: Workforce/HR

1.5 HR

In this competitive environment for health care workers, we cannot afford to lose staff due to burnout. While this

issue is complex and can be different for each person, there are administrative and managerial tactics you can use to minimize the impact of stress and demands upon your provider team. This session will assist you in understanding the organizational impact of burnout, organizational strategies to minimize burnout, and how to help those who are feeling challenged.

Learning Objectives:

1. Identify what effects burnout has on an organization.

2. Learn the warning signs of burnout.

3. Identify strategies to avoid burned-out staff members.

Presenters: Allison Abayasekara, Association of Clinicians for the Underserved; Ann Hogan, Ann Hogan Consulting, LLC

3 – COMMUNITY HEALTH CENTERS 101Track: Governance

New to the CHC family? If you are a new grantee, staff person or board member, please join us to learn about the Community Health Center system, including the history, organization, patient demographics, and program requirements for CHCs. Also discussed will be the lead agencies and organizations that support and collaborate with CHCs and the legislation and policies that affect them.

Learning Objectives:

1. Explain the core history and mission of the CHC system.

2. List key legislation and policies related to the CHC system.

3. Identify lead agencies and organizations that collaborate with and support CHCs.

Presenter: Seth Doyle, Northwest Regional Primary Care Association

DESCRIPTIONSSession

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4 – IMPROVING DELIVERY OF PRIMARY CARE BY LEVERAGING ALL PAYMENT METHODS Track: Finance

Level: Basic

Field of Study: Business Management & Organization

1.5 CPE

In this session we will facilitate two interactive exercises to help clinic leadership better understand the basics of four typical payment models and how they can assist in staffing models to enhance the care team. Participants will better understand how each payment method can help or hinder primary care home transformation and will have the opportunity to practice using a tool that pulls multiple payment models together to create a single view of their revenue opportunity. As a result, participants will feel better prepared as payment models outside of Fee For Service continue to become increasingly based on outcomes versus productivity standards.

Learning Objectives:

1. Understand common alternative payment models and how they impact primary care medical homes.

2. Practice using tools for primary care practices to maximize their capability and revenue under a variety of alternative payment models.

3. Describe the importance of data extraction required for each payment model and ways to streamline.

Presenters: Marcelle Thurston and Maranda Varsik, CareOregon

5 - BEYOND ADVANCED ACCESS: AN INTERDISCIPLINARY TEAM IMPROVES ACCESS TO PRIMARY CARE APPOINTMENTS BY IMPLEMENTING A STANDBY MODEL USING LEAN PRINCIPLESTrack: Quality

Do your patients have a hard time getting in to see you when they want to? Does your clinic have patient access issues despite implementing carve-out and/or advanced access scheduling models? Are patients, providers, and staff frustrated by complicated scheduling rules and lack of access? We can help! In this workshop, we will share how an interdisciplinary team (including front-line staff) successfully implemented a standby access model using LEAN principles. We will describe specific factors that led to our success in improving access and patient/staff satisfaction. You will have the opportunity to explore your access problems and will come away with actionable next steps to start this work.

Learning Objectives:

1. Participants will identify frustrations and barriers to access in their clinic settings and develop strategies to solve their access problems.

2. Participants will learn how to use an interdisciplinary team approach to develop and successfully implement simple access solutions.

3. Share implementation strategies for the Standby model for improved access.

Presenters: Brianna Sustersic and Billie Kay Stafford, Central City Concern

2019 SPRING PRIMARY CARE CONFERENCEANCHORAGE, ALASKA

MAY 18–21, 2019

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Sessions 6–10, 1:30–3 p.m.

6 – PROFILE OF COMMUNITY HEALTH WORKERS IN REGION XTrack: Community Health Improvement

1.5 NASW, CME, CNE

The American Public Health Association defines a Community Health Worker (CHW) as a “frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the worker to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.” Community Health Centers (CHCs) have long incorporated CHWs in their practices and, indeed, the CHC mission suggests that CHWs can be of special benefit as CHCs seek to strengthen their capacities to improve clinical outcomes and advance population health objectives while addressing social determinants and advancing health equity. Presenters will report on the findings of a recent study of how CHWs are being incorporated in CHCs in the Northwest. Using the study findings as a launch point, presenters will discuss how CHWs might be deployed to strengthen patient-centered and community-based care in future.

Learning Objectives:

1. Explain the frameworks and core definitions for CHWs.

2. Describe the range of CHW roles and functions, and core competencies necessary for CHWs to be effective.

3. Identify ways in which CHWs can be utilized to advance community and patient-centered models of care.

Presenters: Feygele Jacobs, RCHN Community Health Foundation; Seth Doyle, Northwest Regional Primary Care Association

7 – HELPING YOUR STAFF MOVE UP WITHOUT MOVING OUT

Track: Workforce/ACU

1.5 HR

No one reaches the top without someone giving them the opportunity to develop their skills, knowledge and abilities and even their education. Do you have career ladders in place for your employees? If not, this session will help you identify those individuals that are ready for moving up in their career, how to develop the career ladder, and how you go about implementing the ladders.

Learning Objectives:

1. Learn the steps to develop career ladders.

2. Identify your top performers for development.

3. Understand how to implement career ladders.

Presenters: Allison Abayasekara, Association of Clinicians for the Underserved; Ann Hogan, Ann Hogan Consulting, LLC

[Saturday continued]

www.NWRPCA.org/page/learningvault

VISIT NWRPCA'S LEARNING VAULTThe Learning Vault is a centralized place for all conference and training content and materials - easily

searched and sorted to customize your needs. Inside the Vault you will find:

» Primary care conference information and session materials

» Over 500 videos of past conferences and plenaries

» Pre-recorded webinars

» Past workshop materials

» eLearning opportunities

» NWRPCA tutorials

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At Quest Diagnostics, we believe in the value

of foresight, the power of prediction, and,

above all, the impact of information. That’s why

Quest provides the cutting-edge diagnostics,

life-changing data, and integrated services

necessary to optimize health.

QuestDiagnostics.com

Quest Diagnostics is proud to sponsor the Northwest Regional Primary Care Association.

Working together for better health

c1a-54521-v1-NWRPCA Sponsorship Ad.pdf 1 3/28/18 4:07 PM

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8 – FROM THE BOTTOM UP: GOVERNANCE AND SERVICE AS TOOLS TO BUILD REPRESENTATION AND COMMUNITY IN FQHC Track: Governance

1.5 GOV

The goal of this presentation is to approach the question of who governs Federally Qualified Health Centers (FQHCs) from both an ethnographic perspective and a personal reflection to illuminate potential roads and concrete governance practices that lead to more inclusive and effective strategies to conduct FQHCs. Attendees will be introduced to relevant research, in an easily understandable way, about the national and regional (Pacific Northwest) composition of FQHC governing boards and its consequences in the application of policy and regulation. We will then explore individual experiences as board members, focusing on how practices and procedures put in place by governing boards can

help diversify the Board, serve the community, and empower people (representative consumers) to become informed, active members of our leadership teams.

Learning Objectives:

1. How to understand and use data to inform governance practices and board member recruitment.

2. Use of governing practices and procedures to create inclusive boards.

3. The importance of concrete education and training policies for governing boards, especially when supporting members of underrepresented patient populations.

Presenter: Marco Viniegra, Community Health Care

[Saturday continued]

WE HELP DOCTORSSTAY FOCUSED ON PATIENTS.

MEDICAL PROFESSIONAL LIABILITY INSURANCE ANALYTICS RISK MANAGEMENT EDUCATION

Insurance products issued by ProSelect® Insurance Company and Preferred Professional Insurance Company®

Helping to reduce medical malpractice lawsuits is just one way we do this. For more information contact us at 800.772.1201 or through coverys.com.

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SESSION DESCRIPTIONS

9 – 2018 COMMUNITY HEALTH CENTER ACCOUNTING STANDARDS UPDATE: REVENUE RECOGNITION, LEASES, & NON-PROFIT REPORTING Track: Finance

Level: Update

Field of Study: Business Management & Organization

1.5 CPE

In this session, we will discuss several sweeping accounting standards updates that will affect Community Health Centers. Specifically, there are three new upcoming standards updates that will require changes in financial reporting and presentation: revenue recognition from contracts, recording of leases, and changes in financial statement presentation for non-profit organizations.

Learning Objectives:

1. Understand the changes and impact to revenue recognition from contracts.

2. Understand the changes and impact to reporting requirements for leases.

3. Understand the changes and impact to financial statement presentation for non-profit organizations.

Presenters: Brian Newton and Mathew Hamlin, Jones & Roth

10 – RAPID ASSESSMENT: SUPPORTING COMMUNITY HEALTH CENTER CONTINUOUS QUALITY IMPROVEMENT Track: Quality

Health centers are increasingly tasked with optimizing operations and outcomes, but often do not have the internal capacity to engage in an in-depth assessment process. Drawing from HRSA standards and key components of finance, administrative, and clinical models, the Rapid Assessment methodology, can provide health centers with a comprehensive, actionable recommendations for continuous quality improvement. In result, practical recommendations are made to key leadership staff, as well as ongoing technical assistance to support the implementation of the recommendations. In this session, learn about Samuel U. Rodgers Health Center, one of the oldest health centers in the country, experience with the Rapid Assessment process which has led to operational, financial, cultural and clinical workflow improvements.

Learning Objectives:

1. Understand the application of the Rapid Assessment Methodology in Community Health Centers.

2. Discuss the Rapid Assessment recommendations and how they inform a continuous quality improvement process.

3. Describe how the Rapid Assessment methodology has led to health center leadership and operational transformation.

Presenters: Heidy Robertson-Cooper, Missouri Primary Care Association; Bob Theis, Samuel U. Rodgers Health Center

Sessions 11–15, 3:30–5 p.m.

11 – RETURNING TO OUR ROOTS: RESOURCES & LESSONS FROM CCI’S SDOH COLLABORATIVE Track: Community Health Improvement

1.5 NASW, CME, CNE

Safety net clinics have long played a role in addressing the social determinants of health (SDOH). But these efforts often have not been rooted in data, financially sustainable, or proven effective at addressing upstream factors impacting health. Today, efforts to transform the health care system are moving beyond clinical walls to address nonmedical needs. Increased accessibility to data and shifts in payment have created opportunities to develop innovative partnerships and long-term, data-driven solutions to address nonmedical needs.

In May 2017, The Center for Care Innovations (CCI) launched Roles Outside of Traditional Systems (or ROOTS). Through the program, seven California-based clinics participated in a yearlong collaborative to experiment and test the role of clinics in addressing SDOH. In this session, CCI will share resources, tools, and lessons learned gained in the program. CCI will also engage participants in interactive activities to understand the role that your organization can play in addressing SDOH.

Learning Objectives:

1. List at least three different roles that clinics and staff can play in addressing SDOH.

2. Identify at least one step that your organization could take tomorrow to begin to understand and address the nonmedical needs of patients.

3. Take back resources, tools, and lessons learned to help further your work in addressing SDOH at your organization.

Presenter: Megan O’Brien, Center for Care Innovations

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2. Identify challenges and obstacles in meeting HRSA requirements.

3. Identify strategies for overcoming challenges and obstacles to meeting HRSA requirements.

Presenter: Brian Osberg, Gallagher Integrated

14 – ALIGNING PROVIDER COMPENSATION TOWARD VALUE BASED PAYMENTS Track: Finance

Level: Overview

Field of Study: Business Management & Organization

1.5 CPE

In this session speakers will describe the recently replaced production based compensation plan, and the success they had with it. Speakers will describe the process by which they conceptualized, developed, reported, improved, and finalized the value based compensation plan. They will provide examples of this plan and explain a balanced approach toward how individual providers contribute value to the overall success of the clinic. They will also demonstrate how this new plan supports the strategic aims. They will summarize the changes which have been required over the first year, and reveal what the plan looks like as they enter the second year.

Learning Objectives:

1. Describe why now is the time to retool "traditional" provider compensation plans.

2. List four pitfalls to implementing a value based medical provider compensation plan.

3. List four unanticipated changes required after the first year of implementation of a value based compensation plan.

Presenters: Malcolm Butler and David Olson, Columbia Valley Community Health

[Saturday continued]

12 – DON’T LET THEM SLIP THROUGH YOUR FINGERS: PLAN FOR RETENTION TODAYTrack: Workforce/HR

1.5 HR

The nationwide shortage of providers is only being exacerbated by changing marketplace conditions, the retirement of the baby boom generation, and changing norms and values around work-life balance. It is not enough to hope you can patch these problems or that you will catch a lucky break; your organization must meet this moment with a thoughtful plan for retaining your staff. This session will guide you through the steps to develop a retention plan, describe valuable strategies like stay interviews, and engage in peer sharing for practical solutions.

Learning Objectives:

1. Identify the steps to develop a retention plan.

2. Learn how to conduct a stay interview.

3. Develop solutions to keep employees in your organization.

Presenters: Allison Abayasekara, Association of Clinicians for the Underserved (ACU); Ann Hogan, Ann Hogan Consulting

13 – HRSA BOARD RESPONSIBILITIES AND FIDUCIARY DUTIESTrack: Governance

1.5 GOV

The objective of this session is to facilitate attendee interaction on identifying best practices of CHC boards in meeting HRSA program requirements. CHC boards have significant responsibilities in ensuring organizational compliance with these federal requirements. Attendees will identify challenges and obstacles in meeting those requirements and learn ways to overcome them.

Learning Objectives:

1. Identify best board practices in meeting HRSA program requirements.

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SESSION DESCRIPTIONS

data, define high value strategies and interventions, and share pragmatic common sense approaches to use data to effectively drive quality.

Learning Objectives:

1. Identify the importance of standardization of work as it relates to data collection and data entry.

2. Discuss strategies to combat the common issues around data extraction and reporting.

3. Define key interventions to support data driven decision making through data analysis, sharing, and visualization(s).

4. Understand the role of your data strategy in organizational scalability and sustainability.

Presenter: Jennifer Calohan, Centerprise, Inc.

15 – DATA DRIVEN QUALITY Track: Quality

Even though we may be tempted, we cannot ignore our data! With Value Based Care models reshaping healthcare, it is more important than ever to not only understand our data, but to be prepared to use it meaningfully to drive Quality. Our success and sustainability as Health Centers are heavily dependent upon our ability to collect, enter, extract, analyze, visualize, share and utilize data meaningfully — and to make informed decisions based on this data.

Data is a critical driver of Quality Improvement; however, our data is often poorly understood and grossly underutilized, leading to missed opportunities in achieving improved clinical, operational, and financial outcomes. We will discuss common pitfalls around

PRIMARY CARE and BEHAVIORAL HEALTH TEAM-BASED CARE

NWRPCA AND CHAMPS MEMBER RATE: $300!

We invite you and your team to join us at noon PST each month for a YEAR-LONG, TEN-PART WEBINAR SERIES to learn and discuss how to engage patients and improve patient outcomes through a team-based approach to behavioral health care.

CME AND NASW CREDITS ARE AVAILABLE FOR THIS TRAINING.No matter when you register, you will receive recordings and materials of all applicable webinars!

AGENDA » January 10, 2018 - The Seamless Team (register and receive the recording of this webinar!)

» February 14, 2018 - Motivational Interviewing and Beyond (register and receive the recording of this webinar!)

» March 14, 2018 - Bi-directional Impact of Behavioral Health and Physical Health Examples

» April 11, 2018 - Detecting Social Determinants of Health in a Treatment Environment

» June 13, 2018 - Expanding the Team Beyond the Four Walls

» July 11, 2018 - Prevention Program: Opioids and Addiction

» August 8, 2018 - Intervention Program: Opioids and Addiction

» September 12, 2018 - Harm Reduction Approach: Opioids and Addiction

» November 14, 2018 - How to Impact Physical Care - Team Response: Opioids and Addiction

» December 12, 2018 - Criminialization of Behavioral Health in the Age of Mass Incarceration

REGISTRATION OPEN NWRPCA.org/event/2018cdseriesYou can still register and receive the first two webinars as recordings.

YEAR-LONG WEBINAR SERIES

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SUNDAY, MAY 20Sessions 16–20, 8:30–10 a.m.

16 – PREPARING FRONT LINE HEALTHCARE STAFF FOR BEHAVIORAL HEALTH INTEGRATION Track: Behavorial Health

1.5 NASW, CME, CNE

How are you preparing front line allied health professionals for integration of behavioral health, substance use disorder treatment and primary care? A partnership between Valley Cities Behavioral Health, Highline College, and Washington medical centers has resulted in an effective Behavioral Health Basics course that provides learners with comprehensive information essential to providing holistic care in an integrated setting. Participants will assess how front line staff are being prepared for integration and explore training

options. The presentation will review topics covered in this foundational course, including Mental Health First Aid, co-occurring disorders, Motivational Interviewing, Trauma-Informed Care, resources and referrals, Crisis Response, and cultural sensitivity.

Learning Objectives:

1. Assess frontline staff readiness for behavioral health/primary care integration.

2. Consider education and training best practices with fellow providers and subject matter experts.

3. Walk away with options for addressing skills gaps.

Presenters: Jennifer Johnston, Highline College; Melissa Glenn, Valley Cities Counseling & Consultation

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SESSION DESCRIPTIONS

17 – HOW TO RUN YOUR EMERGENCY OPERATIONS CENTERTrack: Emergency Preparedness & Response

This interactive, hands-on session will provide you with tools, check-lists and resources needed to run and operate your Incident command/emergency operations center. Activation of your EOC starts with planning for the disaster and training on chain of command as well as knowing your roles once the incident occurs. The first 48 hours of an emergency are the most critical. Utilizing the foundation of NIMS and ICS you will learn the roles of: Incident Commander, Safety/Security, Liaison, Public Information, Plans, Operation, Logistics and finance section chiefs. During this session, you will break up into groups and put your training to the test while filling different roles in an EOC. The organizational structure, resource management and advance management are key to success in any EOC and will allow your trained staff to quickly move to action.

Learning Objectives:

1. Effectively activate and run your incident command/emergency operations center.

2. Develop a communication and information flow for your facility (internal and external).

3. Assign roles and responsibilities during a disaster.

Presenter: Kimberly Baldwin, Wipfli/HFS Consultants

18 – HEALTH CENTER BOARDS: DIRECTING WITH DATATrack: Governance

1.5 GOV

Both new and experienced health center board members will find instruction and guidance on reading and comprehending various financial and operational data. Having this knowledge will enable the board to better understand what questions should be asked, what metrics should be tracked, and how to anticipate consequences from actions. Also learn how to assess health center performance using benchmarking and comparative metrics from Capital Link’s audited financial database and data from the federal UDS reporting system. We will reference outcomes and comparisons in discussing the value of metrics to achieve the board's oversight role and responsibilities to monitor administrative, financial, and clinical operations. Participants will witness how to use these metrics to

compare the organization’s performance with other health centers and to then use that information to enable further financial and clinical success. Board members will observe how to use this data in scenario planning while supporting strategic management efforts.

Learning Objectives:

1. Identify and comprehend significant health center financial and operational metrics.

2. Understand how to best utilize these metrics in considering opportunities and pursing improvements.

3. Use health center data in unison with benchmarks and comparisons to better plan and assess risk.

Presenter: Jonathan Chapman, Capital Link

booth in the exhibit hall to learn about innovations and best practice models for primary care.

The Weitzman Institute is a research, training and innovation center embedded in an a high performing FQHC;

Community Health Center, Inc. This front line experience fostered in primary care inspired the creation of programs

that are supporting health center providers across the country.

Stop by our booth and learn more about:FREE learning collaboratives to implement postgraduate training programs at your health centerCase-based distance learning for primary care teams through Weitzman ECHO®

Asynchronous electronic consultations from primary care to specialistsTraining programs for medical professions including:

• Postgraduate residency training programs (Family Nurse Practitioner, Postdoctoral Psychology, Psychiatric Mental Health Nurse Practitioner)

• Medical Assistant training programs• Workforce Development training programs

Visit CHC’s

For more information, visit www.weitzmaninstitute.org

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© 2018 United Healthcare Services, Inc. All rights reserved.

We are proud to support Community Health and are honored to be a sponsor.

UnitedHealthcare Community Plan is pleased to provide Washington Apple Health (Medicaid), Special Needs Plans, and other federal and state health care programs to individuals and families throughout the State of Washington. We aim to make government sponsored health care a better experience for our members, while helping you provide the highest level of care to your patients.

Working togetherto build healthier communities.

952-CST18682 1/18

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© 2018 United Healthcare Services, Inc. All rights reserved.

We are proud to support Community Health and are honored to be a sponsor.

UnitedHealthcare Community Plan is pleased to provide Washington Apple Health (Medicaid), Special Needs Plans, and other federal and state health care programs to individuals and families throughout the State of Washington. We aim to make government sponsored health care a better experience for our members, while helping you provide the highest level of care to your patients.

Working togetherto build healthier communities.

952-CST18682 1/18

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19 – WHY CLINICAL CODING MATTERS...THE IMPACT ON FUTURE COMPENSATION Track: Finance

Level: Overview

Field of Study: Business Management & Organization

1.5 CPE

Value-based care and quality payment models have made coding an integral part of the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payment System (MIPS), and Quality Payment Program (QPP). While CHCs are eligible but not obligated to report via QPP and penalties for 2017 data do not impact CHC PPS payments, CHC exclusion won’t last forever. Learning how current CHC coding/billing patterns impact how your organization individually and CHCs collectively are perceived may change the historic CHC tune of “coding does not matter”.

Attendees will gain a better understanding of the evolution and the future of the value-based care national landscape including the insurance industry perspective. They will also leave with tools that allow them to execute an effective ‘top-down’ QPP game plan including ICD-10 coding specifics, and physician documentation improvement.

Learning Objectives:

1. Better understand the past and future implications of value-based care models.

2. Grasp the importance of clinical coding in fiscal success as we move towards QPP.

3. Create a ‘top-down’ education plan to ensure success in the face of QPP.

Presenter: Ray Jorgensen, PMG

20 – THE PARTNERSHIP APPROACH FOR BUILDING A SHARED VISION FOR COMMUNITY HEALTH IMPROVEMENT Track: Population Health

The future of individual and population health improvement in America is being severely influenced by several factors that together have very little regard for the realm of experiences and understanding that may

or may not exist within most communities throughout the United States. Important stakeholders, not on the radar in most health system planning for population health improvement, is the local health and human services safety-net of services.

This session will present a community health development strategy called the Partnership Approach that can be applied to build a common purpose to preserve, enhance and share health improvement opportunities among community residents and community resources at both the grassroot and leadership levels. The presentation will include different application experiences and lessons learned from case study examples in three states.

Learning Objectives:

1. Describe how assessment, social determinants of health, community engagement and enlightened self interest work together to build a share vision for health improvement.

2. Identify leadership roles and responsibilities for sponsors and participants in a community health improvement strategy.

3. List three examples from presentation case studies of successful community partnerships.

Presenter: Michael Felix, Health Network Development Strategist

Sessions 21–25, 10:30 a.m.–12 p.m.

21 – THE ROLE OF CERTIFIED MEDICAL ASSISTANTS PROVIDING INTEGRATED CARE IN A BEHAVIORAL HEALTH SETTING Track: Behavioral Health

1.5 NASW, CME, CNE

Integrated whole-person health services are essential to the welfare of our clients and communities. Creation of multi-disciplinary outpatient treatment teams to address the physical and behavioral health needs of clients has been a challenging and rewarding process. A change to the organizational culture was necessary in order to create comprehensive care plans to serve our clients and meet regulatory requirements. As an essential part of these teams, certified medical

[Sunday continued]

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SESSION DESCRIPTIONS

assistants are cross-trained to perform administrative and clinical skills, anticipate the needs of providers and patients and work effectively with other members of the organization to achieve excellence in patient care. This presentation will explain how the certified medical assistants have been integrated into the outpatient care teams at Kitsap Mental Health Services and describe how they have benefited the organization and clients we serve. Details about the certification requirements, scope of practice and assigned tasks will be included.

Learning Objectives:

1. Explain the concept of whole-person health services addressed by the multi-disciplinary teams at Kitsap Mental Health Services.

2. Restate the training and credentialing requirements for certified medical assistants.

3. List common tasks performed by the certified medical assistants in the treatment team environment.

Presenter: Constance Lieseke, Kitsap Mental Health Services

22 – DEVELOPING AN AFTER ACTION REPORT Track: Emergency Preparedness & Response

The Joint Commission requires a hospital to assign a designee whose sole responsibility during emergency response exercises is to monitor performance and document deficiencies and opportunities for improvement. CMS requires documentation of all exercises and real events. Develop an After Action Report (AAR) that meets this criteria and helps your facility take the net step in preparedness and planning. Developing and writing up an AAR can seem like a pain and a waste of time. This session will explain the value in AAR's and how to best caputure observations of an exercise or real event and make recommendations for post-exercise or real event improvements. Learn the must have information that should be included in your AAR and how to use that to develop your Improvement Plans.

Learning Objectives:

1. Identify pertinent information that must be in your After Action Report.

2. See the value and importance of After Action Reports/IP.

3. Correctly assign departments or individuals to corrective actions/gaps that are identified.

Presenter: Kimberly Baldwin, Wipfli/HFS Consultants

CRUCIAL MANAGEMENT SKILLS for CHC LEADERS, MANAGERS and SUPERVISORS of ALL LEVELS

SEPTEMBER 26–27, 2018 | ANCHORAGE, AK

2018

Great management skills are necessary for CHCs managers at every level of your organization! This

CHC-specific course provides an opportunity for leaders, managers, and supervisors throughout

your health center to learn, reinvigorate, and practice a wide range of management skills crucial to

effectively hire, train, manage, and develop others. This training will provide two days of intensive,

hands-on learning for immediate implementation and long-term impact.

REGISTER TODAY!NWRPCA.org/event/2018crucialskills

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23 – ENHANCED BOARD EFFECTIVENESS: STRATEGIC PLANNING AND STAKEHOLDER ENGAGEMENTTrack: Governance

1.5 GOV

The objective of this session is to facilitate attendee interaction on improving CHC board effectiveness in developing an organizational strategic plan. Attendees will identify ways to engage key stakeholders in the process of developing this plan and to ensure its successful implementation. This includes sharing best practices in partnering with staff during this planning process.

Learning Objectives:

1. Identify tactics for engaging stakeholders in strategic plan development.

2. Identify best practices in board/staff partnerships in strategic planning.

3. Increase board effectiveness in developing strategic plans.

Presenter: Brian Osberg, Gallagher Integrated

24 – NAVIGATING THE PAYER PROVIDER ENROLLMENT/CREDENTIALING SUPER HIGHWAY Track: Finance

Level: Basic

Field of Study: Business Management & Organization

1.5 CPE

With all of the changes in healthcare, one thing never waivers: enrolling providers with medical insurance payers for reimbursement. Provider credentialing/enrollment is a critically important and complex piece of your practice — it is the fabric of your revenue cycle management. Our goal is to help simplify provider enrollment/credentialing so that you can be successful in your practice and focus on providing patient care.

Learning Objectives:

1. Create best practices for gathering all necessary items for provider enrollment/payer contracting for timely submission.

2. Identify the challenges and complexities of credentialing/provider enrollment and the impact on revenue cycle.

3. Utilize technology/automation to improve credentialing/enrollment and the impact on revenue cycle.

Presenters: Cheryl Mikkelsen and Kristyn Dice, Medical Practice Management Services

25 – MOVING TO PROACTIVE IDENTIFICATION AND REMEDIATION OF SOCIAL DETERMINANTS OF HEALTH: IMPLEMENTING A SURVEY AT A FEDERALLY QUALIFIED HEALTH CENTER Track: Population Health

This interactive session will expose participants to ways of engaging staff in the work of Social Determinants of Health (SDOH) screening including directly working with a survey tool using paired role play to simulate a clinical intervention. This session will include participant discussion to brainstorm risks associated with SDOH, potential avenues for community remediation, and tips for patient-centered inquiry.

Learning Objectives:

1. Describe SDOH and the impact on health outcomes.

2. Introduce SDOH screening proactive screening.

3. Provide practical tools and tips for introducing the work in a primary care setting.

Presenters: Therese Mcintyre and Lindsey Stailing, Mosaic Medical

WORKSHOP[Sunday continued]

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Sessions 26–30, 1:30–3 p.m.

26 – EXPANDING ACCESS: INTEGRATING MEDICATION ASSISTED TREATMENT INTO PRIMARY CARE SETTINGS Track: Behavioral Health

1.5 NASW, CME, CNE

This session will explore opportunities to integrate MAT into the primary care setting through a team-based approach that builds provider capacity through care management and technical support. The speakers will share strategies, experiences, and resources to help guide an interactive conversation about MAT models of care, potential barriers to implementation, and promising future directions for MAT integration and expansion.

Learning Objectives:

1. Summarize the benefits and opportunities related to expanding MAT access.

2. Identify potential barriers, strategies, and resources for implementing MAT in primary care settings.

3. Describe key roles that support a team-based approach to MAT delivery.

Presenters: Albert Carbo, Jennifer Kreidler-Moss, Regina Bonnevie Rogers, and Angela Bland, Peninsula Community Health Services

27 – MAINTAINING CMS EMERGENCY PREPAREDNESS COMPLIANCE? KEYS TO DEVELOPING A SUCCESSFUL COMPLIANCE PROGRAM Track: Emergency Preparedness & Response

FQHCs across the country have developed their CMS Emergency Preparedness (EP) Compliance Programs to meet the new 2017 CMS EP Requirements. There have been significant findings on how FQHC/RHCs can successfully implement EP programs, increase patient and staff safety, and respond to and recover from disasters great and small. Nora O’Brien, MPA, CEM, of Connect Consulting Services, will share case studies of how FQHCs/RHCs across the country have developed their CMS EP Compliance Programs and activated their

emergency plans during disaster. Jane L. Berry, CMA – AC, Facilities Coordinator and Emergency Preparedness Coordinator of West County Health Centers in Guerneville, CA will share their health center experience with disaster response during the devastating Sonoma-Napa Fires in October 2017. With the need for FQHCs to mature their emergency preparedness programs due to the CMS EP rule, emergency management for FQHCs is here to stay.

Learning Objectives:

4. Clarify the CMS Emergency Preparedness Final Rule Requirements for Federally Qualified Health Centers (FQHCs).

5. Provide case studies of FQHCs who have developed robust CMS Emergency Preparedness. Compliance planning and exercise programs and responded to real-life disaster events.

6. Provide practical tools, tips and resources on how FQHC/RHCs can maintain CMS EP compliance.

Presenters: Nora O'Brien and David Plance, Connect Consulting Services

28 – COLLABORATIVE GOVERNANCE OF COMMUNITY HEALTH PARTNERSHIPSTrack: Governance

1.5 GOV

The objective of this session is to facilitate attendee interaction on partnering with other community and provider organizations at the governance level. Attendees will identify challenges in doing this and share success stories in collaborating with key organizations in their community. Examples of best practices in collaborative governance in other countries and settings will be provided.

Learning objectives:

1. Identify challenges in community partnerships.

2. Identify successful community partnership strategies.

3. Identify best practices in collaborative governance.

Presenter: Brian Osberg, Gallagher IntegratedStrategies

[Sunday continued]

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SESSION DESCRIPTIONS

29 – ALTERNATIVE PAYMENT MODELS AND THE IMPACT ON YOUR FINANCIAL AND OPERATIONAL INDICATORSTrack: Finance

Level: Overview

Field of Study: Business Management & Organization

1.5 CPE

The session will cover currently available and evolving Medicaid alternative payment models (APMs) and their operational and financial impact. Many state Medicaid programs have turned to APMs, embracing value-based delivery to achieve the goals of care coordination, improved quality and lower health care costs. During this interactive session, the speakers will discuss different types of alternative payment models identifying areas of operational and financial opportunity and strategies to mitigate the impacts.

Learning Objectives:

1. Discuss models based on fee-for-service, managed care, or a combination.

2. Explore financial and operational impacts of capitation and bundled payments and variation in quality indicators.

3. Discuss merits of health homes, integration of behavioral health, dental and other care team services.

Presenters: Kyla Delgado and Matthew Borchardt, CliftonLarsonAllen LLP

30 – TEAM-BASED CARE IN A POPULATION HEALTH MANAGEMENT MODELTrack: Population Health

1.5 NASW, CME, CNE

Health Centers are leaders in advancing the concepts and actual practice of a team based approach to primary care that drives improvements in outcomes and satisfies patients, staff, and payors alike. We need data, role clarity, training, and expansive thinking in order to effect change on a population of patients as well as individual patients. We need to know about the contributions that both the “on-stage” players and the “back-stage”

players make to help us reach our goals for population health. This session will focus on strategies that help organizations achieve an advanced model of team based care that benefits the entire population of patients in your health center and practice.

Learning Objectives:

1. Identify three of the core areas of integration that support an advanced model of team based care.

2. Describe three strategies to impacting health outcomes using a data driven, team based approach to care.

3. List five opportunities for resolving care gaps, managing transitions of care, and improving access within your practice, using a team based approach.

Presenter: Margaret Flinter, Community Health Center, Inc.

Sessions 31–35, 3:30–5 p.m.

31 – PROVIDER COACHING - MOVING THE PERFORMANCE DOTS Track: Behavioral Health

In 2013 Columbia Valley Community Health (CVCH) in Wenatchee, Washington, a fully integrated PCMH, implemented a formalized provider coaching program, leveraging the expertise of experienced psychologists and physicians to improve provider performance. The program has matured to include provider coaching as a routine element of our onboarding practice for newly hired providers; ongoing access to provider coaches to help with difficult cases; focused coaching for low performers; and video coaching to allow providers to see what the patient sees during a visit. This session will describe a successful professional provider coaching model with evidence of its effectiveness to support its ongoing expense.

Learning Objectives:

1. Make a case in support of professional provider coaching.

2. Understand the primary areas of weakness in most newly minted FQHC medical providers.

3. Understand how to deploy an inexpensive video coaching system within their center.

Presenters: Misha Whitfield and Malcolm Butler, Columbia Valley Community Health

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ED, the ongoing performance review of the CEO/ED and board self-evaluation, and succession planning. It will also cover the handling of difficult personnel matters.

Learning objectives:

1. Identify best practices in onboarding of CEOs/EDs.

2. Identify best practices in CEO/ED evaluation.

3. Identify best practices in board self-evaluation.

Presenter: Brian Osberg, Gallagher Integrated

34 – ACCOUNTING AND TAX UPDATE FOR COMMUNITY HEALTH CENTERS AND FQHCS

Track: Finance

Level: Overview

Field of Study: Business Management & Organization

1.5 CPE

This session will provide an overview of the accounting guidance and tax updates that are effective in the coming fiscal year and are relevant to community health centers and FQHCs. We will highlight areas of change in financial reporting for not-for-profit entities, lease accounting, changes in cash flow statements, and upcoming changes in reporting contribution and grant revenue. We will also cover various tax-exempt topics and relevant changes that are coming out from Washington, DC, as it relates to not-for-profit entities and related entities - especially with the tax reforms that will be finalized for 2018. Finally, we will discuss best practices and challenges that are faced by CFOs, controllers, and other fiscal leaders of community health centers and FQHCs in addressing accounting and tax issues in their respective organizations.

Learning Objectives:

1. Understand the new accounting guidance that has been issued by the FASB and will be effective for community health centers and FQHCs in the upcoming fiscal year.

2. Review tax updates relevant to community health centers and FQHCs, and discuss their respective impacts and areas of concerns.

3. Discuss best practices and challenges in accounting and tax for community health centers and FQHCs.

Presenters: Kinman Tong and Joua Lo, Moss Adams LLP

32 – MEETING THE PLAN TESTING CMS REQUIREMENT: CMS EMERGENCY PREPAREDNESS COMPLIANT TABLETOP EXERCISE Track: Emergency Preparedness & Response

One of the required Center for Medicare and Medicaid Services (CMS) Emergency Preparedness elements for FQHC/RHCs are to conduct annual training and disaster exercises to test your emergency plan. Each FQHC/RHC is required to conduct two disaster exercises annually, one of which must be an operations-based full scale community exercise and the second can be another full-scale exercise and/or a tabletop discussion-based exercise.

In this session, the healthcare emergency management experts from Connect Consulting Services will provide you with the skills and tools to conduct a CMS-compliant tabletop exercise at your FQHC/RHC. In addition, led by a FEMA Master Exercise Practitioner, your FQHC/RHC will participate in a community tabletop exercise that meets one of your two exercise requirements. Lastly, Chris will share tools and strategies to developing a robust training and exercise program that tests your emergency plan elements and trains your staff on your emergency plan.

Learning Objectives:

1. Clarify the CMS Emergency Preparedness Final Rule Training and Plan Testing Requirements for FQHC/RHCs.

2. Learn how to conduct a CMS compliant tabletop exercise.

3. Participant in a community tabletop exercise to test FQHC/RHC plan elements.

Presenters: Nora O'Brien, Chris Laborde and David Plance, Connect Consulting Services

33 – BOARD MANAGEMENT RELATIONSHIPSTrack: Governance

1.5 GOV

The objective of this session is to facilitate attendee interaction on creating an effective relationship between the CHC board and management. This includes the successful on-boarding and development of the CEO/

[Sunday continued]

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SESSION DESCRIPTIONS

MONDAY, MAY 21Sessions 36–40, 10:30 a.m.–12 p.m.

36 – NACHC POLICY UPDATE Track: Policy

This session will provide participants with the very latest on federal health policy developments and their implications for health centers and the people and communities they serve. An update on NACHC’s policy priorities including stable federal funding, Medicaid, telehealth, 340B, and substance use disorder treatment. Presenters will also review current policies from HHS and HRSA and the implications and opportunities for community health centers.

Learning Objectives:

1. Obtain the latest information on national health reform efforts and congressional priorities related to health care.

2. Identify the policy priorties relevant to the community health center program.

3. Identify FY 2018 federal funding opportunites.

Presenter: Joe Gallegos, NACHC

35 – PROMOTING WHOLE PERSON CARE THROUGH VALUE BASED PURCHASING AND COMMUNITY REINVESTMENT Track: Population Health

1.5 NASW, CME, CNE

In this sessions, Yakima Neighborhood Health Services and Community Health Plan of Washington will provide an overview of how value-based purchasing has enabled community reinvestment and expansion of whole person care, integrating primary care, behavioral health, supportive housing and employment and basic needs assistance for our most vulnerable populations. We will outline the processes employed to develop and implement value-based purchasing strategies through strong care coordination, including steps taken to expand and enhance the full continuum of behavioral health services, increase bi-directional integration between medical and behavioral health providers, and expand affordable supportive housing services, as well as recuperative respite care for homeless individuals.

Learning Objectives:

1. Gain practical knowledge of best practices and lessons learned related to advancing delivery system integration.

2. Process put in place to advance integrated care.

3. Overview of the clinical models that supported integration.

Presenters: Jan Sheely and Keith Brown, Community Health Plan of Washington; Rhonda Hauff, Yakima Neighborhood Health Services

FINANCE MANAGEMENT BOOTCAMP

JUNE 19–20, 2018 | SEATTLE, WA

2018

The FINANCE MANAGEMENT BOOTCAMP two-day training is designed for people

relatively new to the FQHC industry and

would like to become familiar with all the

terms, issues, and regulations facing FQHCs.

The objectives of this session will be geared

toward educating new CFOs and other

finance/business office personnel of FQHCs

with all the topics and relevant issues they

will need to know.

REGISTER TODAY!NWRPCA.org/event/2018financebootcamp

Western Forum for Migrant & Community Health2019

DOWNTOWN PORTLAND, OREGON

February 20-22, 2019

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[Monday continued]

TAKE ACTION

HCV CAN BE

CURED

R E T H I N K H C V

Cure, or sustained virologic response (SVR12), is defined as undetectable levels of HCV in the blood at 12 weeks after completion of therapy. 1,2

References: 1. HHS/FDA/CDER. Guidance for Industry. Chronic Hepatitis C Virus Infection: Developing Direct-Acting Antiviral Drugs for Treatment. November 2017. 2. AASLD, IDSA, IAS-USA. http://www.hcvguidelines.org. Accessed September 21, 2017.

GILEAD and the GILEAD logo are trademarks of Gilead Sciences, Inc., or its related companies. ©2018 Gilead Sciences, Inc. All rights reserved. UNBP3853 04/18

LEARN MORE AT HCVcanbecured.com

Visit HCVcanbecured.com to register to receive the HCV toolkit.

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37 – TRAINING THE NEXT GENERATION: POSTGRADUATE RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS IN COMMUNITY HEALTH CENTERSTrack: HR/Workforce

1.5 HR

In 2007, Community Health Center, Inc. (CHCI) launched the nation’s first postgraduate nurse practitioner residency training program for new NPs in Community Health Centers. The goal of the program is to provide new NPs with the confidence and competence to serve as expert primary care providers in the safety net setting. CHCI’s objective was to create a replicable program that would be spread nationally. In this session,

program leaders from CHCI will describe the 11-year history of the program, the benefits, challenges and opportunities of the program, and give you the tools and resources you need to further explore and assess your organizational readiness to launch a postgraduate training program.

Learning Objectives:

1. Participants will be able to identify the necessary structure, design, and content of the 12-month NP residency program.

2. Participants will identify the potential financial impacts and return on investment of residency programs within their organization.

3. Participants will understand how to use tools such as a resource assessment and progress checklist to assess their readiness to launch a program.

Presenter: Kerry Bamrick, Community Health Center, Inc.

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SESSION DESCRIPTIONS

treatment recommendations, and explore how your clinics are engaging patients and using your electronic medical record to improve care coordination for ophthalmology. We will conclude with a summary of what clinics are doing to improve patient engagement with retinal treatment.

Learning Objectives:

1. Understand why patients with sight-threatening diabetic retinopathy may not be getting treatment in spite of diabetic retinopathy screening efforts.

2. Identify factors that can overcome barriers to coordination of care and patient engagement with ophthalmological care for diabetic eye disease.

3. Find sustainable solutions for improving adherence rates for patients requiring treatment for diabetic retinopathy.

Presenters: Jorge Cuadros, University of California, Berkeley, Optometric Eye Center; Laurie Coleman, OCHIN

40 – DEVELOPING POPULATION HEALTH SKILL SETSTrack: Population Health

1.5 NASW, CME, CNE

In this session, we will comprehensively address patient attribution and activation, including developing a population health program and models of engagement; risk adjustment and risk stratification related to financials, outcome measures, and beyond; and population care management models.

Learning Objectives:

1. The importance of a clearly defined, attributed population for the management of any value-based reimbursement methodology.

2. Common approaches to identifying risk levels within a population, and how to apply these approaches in a practical setting.

3. The different approaches to improving population health, and the relative pros and cons of each.

Presenter: Andy Principe, Starling Advisors

38 – BE DELIBERATE: PROCESS IMPROVEMENT IN YOUR ORGANIZATION Track: IT/Operations

You have identified a problem. Your teams have a pretty good idea of how to solve that problem. But something gets in the way that the organization just cannot seem to execute. The idea does not become reality. The teams are frustrated and the problems seem to hang around like Cousin Eddie. This session will overview a process improvement approach to execution and problem solving. We will cover the motivation behind choosing and implementing process improvement and will look at popular models. Following the overview, we will discuss how process improvement models are implemented, expanded and normalized in organizations. This presentation will include real examples and tools, which can help jump start a budding continuous improvement organization.

Learning Objectives:

1. Define process improvement.

2. Identify multiple types of process improvement models.

3. Understand the importance of adopting and nurturing a process improvement model.

Presenter: Heather Niemi, Agatha Consulting

39 – DOES YOUR DIABETIC RETINOPATHY SCREENING PROGRAM PREVENT BLINDNESS? Track: Integrated Services

1.5 CME, CNE

Your diabetic retinopathy screening program may not be preventing vision impairment. Adherence with timely treatment recommendations for diabetic retinopathy are often not followed due to factors related to delays in receiving diagnosis and treatment recommendations, coordination with treating physicians, and engagement with patients about their conditions. In this interactive talk we will present findings from our study and others showing an unexpected low level of adherence with

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Sessions 41–45, 1:30–3 p.m.

41 – SERVING IMMIGRANT PATIENTS IN THE CURRENT CLIMATE: STRATEGIES FOR COMMUNITY HEALTH CENTERS Track: Policy/Environment

1.5 NASW, CME, CNE

Given the deportation threats that communities are facing under the new administration, many patients have been cancelling their medical appointments and disenrolling from programs for which they are legally eligible. For decades, community health centers have been safety net providers for underserved and low income communities, while also serving as active advocates for their patients’ health care rights. To help ease the fears in our patients and minimize the access barriers created by the national anti-immigrant rhetoric, health centers have been looking to implement policies and procedures that will help ensure the safety of immigrant patients and staff in the event of an encounter with federal immigration officials. This session will review current immigration policies and potential changes to immigration laws, and will provide attendees with resources and strategies to best serve immigrants in the current climate.

Learning Objectives:

1. Learn protocols on how to appropriately interact with immigration officials, including designating staff to act as enforcement liaisons.

2. Understand federal immigration enforcement policies under the current administration.

3. Identify resources and strategies for responding to immigrant families’ behavioral health needs.

Presenters: Gabrielle Lessard, National Immigration Law Center; Elizabeth Oseguera, California Primary Care Association; Aracely Navarro, Children’s Partnership

42 – ADVANCING PRIMARY CARE LEADERSHIP TO ADVANCE PRIMARY CARE Track: Workforce/HR

1.5 NASW, CME, CNE, HR

Advanced primary care addresses the social, psychological, and physical health needs of every patient at every visit. Advanced primary care practices staff their care teams with BHCs (psychologists, LCSWs, LPCs, and LMFTs) and develop behavioral health leadership roles. This session features a panel of primary care behavioral health leaders with years of experience in their roles. They will share experiences and provide ample opportunity for audience participation. They will highlight keys to their success and common pitfalls. The panel are founding members of the Integrated Primary Care Leadership Collaborative, which is a grass-roots convening of primary care behavioral health practice leaders neutrally-facilitated by CareOregon. Audience members will leave with increased understanding of this leadership role and the need for it to advance primary care. Audience members will receive a primary care behavioral health director job description and tip sheet on how to introduce a behavioral health director to their organization.

Learning Objectives:

1. Learn how primary care behavioral health leaders support advanced primary care practices.

2. Learn common roles and responsibilities of primary care behavioral health leaders.

3. Learn how to successfully recruit and support a primary care behavioral health director.

Presenters: Julie Oyemaja, George Fox University; Lexy Kliewer, Lifeworks NW; Joan Fleishman, Oregon Health & Science University; Andrew Huff and Laura Fisk, Care Oregon

[Monday continued]

Be part of the mission-driven CHC movement to serve the underserved and explore your next career opportunity today. Our Career Center has numerous job postings across the northwest, and FQHCs are able to list available positions at their own organization.

Start your life-changing search

today and access the Career Center:

www.NWRPCA.org/networking

WHAT’S ON YOUR HORIZON?

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SESSION DESCRIPTIONS

43 – AMAZING TECHNOLOGY INNOVATIONS Track: IT/Operations

Technology is on the forefront of innovation. According to Moore’s Law, computer processing speed doubles every 18 months. When you think about the technical changes even in the last 10-15 years – Twitter, Facebook, smartphones, automotive GPS, Fitbits – it becomes hard to imagine where the future will take us in healthcare over the next few decades. Many believe technology stands to create the cost inflection point sought under healthcare reform. Join Adele Allison, industry expert and futurist, as she explores the world of healthcare technologies and advances from third generation electronic health records to 3D printing to nanomedicine. Investigate Gartner Group’s predictions about the evolution of provider-oriented technologies. Designed to stimulate the imagination, this session will provide ideas for use of current technology such as mobile apps to help your patients as well as the seemingly sci-fi.

Learning Objectives:

1. Explain and assess technology advances according to Moore’s Law and Gartner’s Hype Cycle.

2. Study future roadmaps for established technologies such as EHRs and mobile healthcare apps.

3. Explore imaginative new ideas in healthcare technical developments.

Presenters: Adele Allison, DST Health Solutions, LLC and Benjamin Thelonious Fels, Macro-Eyes Health

44 – USING INTEGRATED CARE TEAMS TO IMPROVE HEALTH CARE AND LOWER COSTS FOR HIGH NEED PATIENTS: PARTNERSHIP HEALTH CENTER’S SUPER-UTILIZER PILOT STUDYTrack: Integrated Services

Complex comorbid conditions, substantial social barriers to accessing primary care, high health care expenditures, significant emergency department utilization -- these phrases all describe the patient population categorized as “super-utilizers,” by the medical community. However, these patients also represent an opportunity for community health centers in terms of improved health outcomes for their patient population and cost savings for the local medical community. Join us for a conversation about Partnership Health Center’s (PHC) super-utilizer pilot study. The care team encourages super-utilizer patients to access care with their primary care physician by identifying and removing barriers to access, and working to address the four domains of chronic disease prevention. The presenters will walk the audience through the development, implementation, and outcomes of PHC’s pilot program and discuss opportunities for sustainability.

Learning Objectives:

1. Assess patient population’s need for a super-utilizer program and identify inclusion/exclusion criteria.

2. Identify the basic staffing, partnerships and protocols required to start a similar super-utilizer program at a federally qualified health center.

3. List two strategies for sustaining a super-utilizer program.

Presenters: Mary Jane Nealon, Charles Rourke, and Theodore Veseth, Partnership Health Center

2018 CHAMPS/NWRPCA FALL PRIMARY CARE CONFERENCE

DENVER, COLORADO

OCTOBER 20–23, 2018

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SESSION DESCRIPTIONS

45 – ADVANCED DATA ANALYTICS FOR POPULATION HEALTHTrack: Population Health

This session proposes to share the journey in collaborating with a growing ACO in terms of positive learnings and barriers along the way. As part of this presentation, El Rio Health will share details of the infrastructure, collaborative partnerships with payers, community hospital systems and self-funded employers and the resulting data using the Quadruple Aim as the backdrop for the innovations and outcomes. The proposed session would be structured to share program information with interactive discussion around “points of tension” that either arose during development or are currently under discussion for the El Rio system.

Learning Objectives:

1. Identify key essential innovations/strategies of a growing and sustainable FQHC with the changing health care environment.

2. Analyze the various investments in the care delivery model as it relates to the quadruple aim: cost, quality, patient experience and provider satisfaction.

3. Strategize with participants and faculty around necessary resources for continue future success in population health management built in concert with the quadruple aim.

Presenters: Nancy Johnson, El Rio Health; Andy Principe, Sterling Advisors; Erika Cottrell, OCHIN

Sessions 46–50, 3:30–5 p.m.

46 – THE EMERGING HEALTH CARE PARADIGM: SELECT TRENDS & THEIR IMPLICATIONS FOR CHCSTrack: Policy

Panelists will explore the issues, dynamics and implications for CHCs of addressing infectious disease in the 21st century, participating in precision medicine and responding to where technology “is heading” in the healthcare sector. Experts from Quest Diagnostics and OCHIN will review the current states related to these issues, outline how their respective organizations are engaging in critical national policy dialogues, and suggest targeted action items based on their assessments of the challenges and opportunities faced. Specifically, the session will explore evolving dynamics in infectious disease screening and treatment, with a focus on hepatitis and HIV; review the rapidly growing field of precision medicine and how providers will be able to maximize the application of precision medicine

with laboratory test-derived insights; and discuss current technology policies and their future impact on tomorrow’s healthcare, including information exchange and interoperability, 42 CFR Part 2, Prescription Drug Monitoring plans, and Broadband and Telehealth policies.

Learning objectives:

1. Review current and future states of healthcare technology as well as key national policy issues impacting this technology.

2. Develop understanding of key trends in infectious disease screening and treatment, with a focus on hepatitis and HIV.

3. Explore precision medicine and its current and future application.

Presenters: Rick Pesano, Quest Diagnostics; Jennifer Stoll, OCHIN

47 – PAYER’S PERSPECTIVE: THROUGH THE LOOKING GLASS

Track: HR/Workforce

The role of the traditional health plan is changing. Long gone are the established practices of managing health care — resource-focused. Provider consolidation, team-oriented and accountable care delivery, and emerging alternative payment models (APMs) are requiring plans to redefine and redesign their role. Today, a payer’s monetary proposition is shifting away from strict cost containment to managing health through member-focused and provider-aligned processes and data. As population-based payment grows, the payer’s financial success will be tied to measurable improvements in the health status of their enrolled patients. Step through the looking glass as this session explores the world of a payer from claims-based processes, revenue models, contracting, and population health to the need for stronger payer-provider partnerships. This session will introduce and investigate emerging payer shared and owned technologies and policies that align with industry mega-trends under consumer expectations of value-based care.

Learning Objectives:

1. Explain the operations of a health plan as a counterpoint to the medical practice.

2. Identify emerging operations designed to transform payers into health value management organizations.

3. Advance the view of health care from provider-specific roles to harmonized objectives with health plans.

Presenter: Adele Allison, DST Health Solutions

[Monday continued]

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48 – USING TELEHEALTH IN YOUR COMMUNITIES: A REVIEW OF THE CHALLENGES, AND EXAMPLES OF SUSTAINABLE, CREATIVE MODELSTrack: IT/Operations

This panel session will explore how telehealth is transforming health care delivery. Learn about telehealth from experts working on creating opportunities to sustainably and creatively fund, support, and operationalize telehealth in a variety of settings. Come prepared to learn from case study level information, hear about barriers/challenges when working on telehealth, and hear options for how to sustainably fund telehealth initiatives.

Learning Objectives:

1. Learn from operational examples and case studies of telehealth challenges, barriers, and solutions in a variety of contexts (including FQHCs).

2. Assess creative ways to sustainably fund telehealth.

3. Be able to create a strategy to start your own telehealth initiative.

Facilitator: Mannat Singh, Consultant

Presenters: Tanya Odden, Southcentral Foundation; Huzefa D, Certintell; Agi Erickson, Weitzman Institute

49 – THE INTEGRATION OF ORAL HEALTH AND PRIMARY HEALTH CARE: THE PATHWAY TO HEALTH EQUITY? Track: Integrated Services

1.5 CME, CNE, CDE

This session will explore the status of oral health in America with a lens towards health equity. The session will examine the social impact of oral disease and the driving forces that have created a paradigm shift as it pertains to oral health delivery systems, namely in primary care settings.

Learning Objectives:

1. Understand the macro and micro factors that impact social justice and oral health equity.

2. Learn about the five domains of successful integration of oral health and primary care.

3. Learn about successful models and practices towards optimizing oral health and primary care integration.

Presenter: Kim Perry, A.T. Still University

[Monday continued]

EHCI CONSULTING SERVICES | A SERVICE OF BOTH REGIONAL PCAS

An exciting partnership between NWRPCA and CHAMPS, the Educational Health Center Initiative (EHCI) provides expert consulting and informational training on the Education Health Center model for health centers and health center partners across the country.

EHCI provides financial, academic, and legal consulting services for the development or expansion of:

» Family Medicine Residency Programs » Dental Residency Programs » Nurse Practitioner (NP) Programs » Physician Assistant (PA) Programs

A 10-minute survey will unlock a free one-hour phone consultation for your organization.

Go here to access the survey: www.nwrpca.org/surveys/?id=EHCI_Assessment

QUESTIONS? Contact Kelly Rondou, Program Support [email protected] or 206.783.3004

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50 – POPULATION HEALTH: PULLING IT ALL TOGETHERTrack: Population Health

1.5 NASW, CME, CNE

At the end of day on Monday, Principe will relay and summarize the wealth of information provided throughout the track, address final participant questions and concerns, and discuss a way forward to true population health management and the critical role health centers play.

Learning Objectives:

1. How value-based payment models, care models, and data systems and tools are inherently linked.

2. How to obtain the necessary skills and tools for managing under value-based payment models.

3. How to overcome the challenges of transitioning to value-based payment models.

Presenter: Andy Principe, Starling Advisors

TUESDAY, MAY 22Sessions 51–54, 8:30–10 a.m.

51 – WORKFORCE SATISFACTION AND STAFF TURNOVER: HOW TO RECOGNIZE BURNOUT & WHAT TO DO ABOUT IT Track: Workforce/HR

1.5 HR

Staff burnout is reaching epidemic levels as increasing burdens and stressors are placed on healthcare professionals. If practices are going to avoid turnover, absenteeism, and reduced productivity associated with burnout, they must understand the myriad of factors that contribute to this epidemic and how to combat it. This presentation will address the scope of the epidemic, how to recognize burnout in your practice, the identification of strategies that support self-care, and how to integrate these efforts into your practice.

Learning Objectives:

1. Define burnout and its impact on practice operations and the bottom line.

2. Recognize signs of caregiver stress.

3. Identify techniques to address burnout: organizational strategies versus personal strategies.

Presenters: Cheryl Fattibene and Tiffanie Depew, National Nurse-Led Care Consortium

52 – ADVANCING VALUE-BASED CARE AND REIMBURSEMENT FOR VULNERABLE POPULATIONS TO PROMOTE HEALTH EQUITY Track: Operations/Finance

Level: Overview

Field of Study: Business Management & Organization

1.5 CPE

The Fee-For-Service model in health care is obstructing efforts to meet the real needs of patients, particularly for vulnerable populations. Oregon Primary Care Association has worked with the state Medicaid office, Community Health Centers, and Medicaid managed care organizations to align payment with practice transformation strategies that promote optimal health and health equity. This alternative payment methodology (APM) divorces payment from a provider encounter which allows for alternative visit types, including those that address social determinants of health. The APM has been in place since March of 2013 which has allowed health centers to enhance PCMH practice transformation with a focus on improving health equity and patient experience. This innovative work includes segmenting populations by both medical and social risk factors to address co-occurring social determinants of health barriers while meeting patients’ medical needs. Data is being used to manage change and demonstrate improvement in cost, quality, access and patient experience.

Learning Objectives:

1. Align various stakeholders behind advancing value-based care and reimbursement.

2. Create an accountability plan that supports payment and practice transformation.

3. Develop a learning community that supports practice transformation.

Presenters: Craig Hostetler, Hostetler Group; Ariel Singer, Oregon Primary Care Association

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53 – WOMEN IN HEALTH CARE LEADERSHIP, PEER LEARNING PART 1Track: Women’s Leadership

Over the past several years, women’s issues have been forefront in our media, our news, and our culture. Everywhere, women and their allies are working to make change for themselves and the women they love. It’s time to move that conversation into health care leadership. Women leaders have unique challenges in their work and personal life, are the challenges in the health care industry the same? Different? What are women working in health care experiencing? How can we come together and make change in our lives, our work, and the lives and work of those around us? Join us for this unique listening and learning session where we will work to identify those unique challenges faced by women health care leaders, learn from and connect

to our peers, and make a statement about what support and training our Regional PCA can provide to support this work going forward.

Learning Objectives:

1. Build personal and professional networks with existing and emerging women leaders in healthcare.

2. Identify and build understanding of issues confronting women leaders in health care and best practices for addressing such issues.

3. Provide feedback to the Regional PCA to inform future resource and training content to better address issues women in health care leadership face.

Presenters: Mannat Singh, Consultant; Kelly Rondou, Northwest Regional Primary Care Association

CHRONIC DISEASE PREVENTION and SELF-MANAGEMENT

NWRPCA, CHAMPS, and IPCA MEMBER RATE: $300!

Diabetes and hypertension are both major public health issues in the United States. According to the CDC, more than 29 million people have diabetes (and another 86 million are living with prediabetes), and about 75 million people have hypertension.

IN THIS TEN-PART, YEAR-LONG WEBINAR SERIES, participants will cover a variety of topics that promote and inform community health-driven chronic disease prevention and self-management methods and practices.

No matter when you register, you will receive recordings and materials of all applicable webinars!

AGENDA

» January 31, 2018 - Overview of Hypertension and Impact on Public Health and Primary Care

» February 28, 2018 - Overview of Diabetes and Impact on Public Health and Primary Care

» March 28, 2018 - Focus on Prevention: Healthy Eating, Active Living

» April 25, 2018 - Care Coordination: The Role of the Clinician

» June 27, 2018 - Care Coordination: The Role of Enabling Services

» July 25, 2018 - Behavioral Health and Chronic Disease Management

» August 29, 2018 - Patient Engagement and Motivational Interviewing

» September 26, 2018 - Tools to Support Behavior Change in Chronic Disease Management

» November 28, 2018 - Partnering to Promote Health

» December 19, 2018 - Conclusion – Sharing Best Practices of What Works

REGISTER TODAY! NWRPCA.org/event/2018cdseriesYou can still register and receive applicable webinars as recordings.

YEAR-LONG WEBINAR SERIES

Tuesday continued]

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54 – INTEGRATING ORAL HEALTH INTO PRIMARY CARE Track: Oral Health

1.5 CME, CNE, CDE

This session will provide practical and replicable frameworks which will demonstrate the many levels of engagement needed to integrate oral health assessments, prevention, education and referrals in the primary care setting. Using Oral Health Integration Specialists, several CCOs have successfully provided primary care clinic technical assistance needed for primary care providers to make their patient care more comprehensive.

Learning Objectives:

1. List oral health integration initiatives the Oregon Oral Health Coalition provides to increase oral health across the lifespan.

2. Examine how Oregon’s Coordinated Care Organizations manage Medicaid health care delivery and support community health.

3. Identify community assets which can support integration efforts.

Presenters: Laura McKeane, Oregon Oral Health Coalition; Karen Hall, Oral Health Education/Training Consultant

Sessions 55–58, 10:30 a.m.–12 p.m.

55 – COMMUNITY HEALTH CENTERS — THE PERFECT "CULTURE" TO SUPPORT INTERPROFESSIONAL PRACTICE AND EDUCATIONTrack: Workforce/HR

1.5 CME, CNE, HR

Changes in health care delivery and health reform have increased the need for organizations to create to a culture that supports team-based and interprofessional practice and education. Community Health Centers have always taken the lead in creating innovation in health care delivery. That is certainly the case when identifying organizational cultures that respect each role of the health care team. The purpose of this session is to highlight the rational for embracing and expanding interprofessional practice and education. The presentation will highlight exemplar clinical and education programs including the primary care and behavioral health team at Yakima Neighborhood Health and the Yakima Valley Interprofessional Practice

and Education Collaborative. The audience will be challenged to identify opportunities within their own organizations to expand IPE activities. Resources at the State, Regional and National Level will be identified that are available to support the development and expansion of interprofessional practice and education in health professions training programs.

Learning Objectives:

1. The attendee will develop an understanding of the core competencies of IPE.

2. The attendee will understand the benefits, challenges, and models of success for organizations, students, clinicians, and faculty collaboration.

3. Attendees will be provided with the history and structure of the Yakima Valley Interprofessional Practice and Education Collaborative.

Presenters: Dan Ferguson, WA State Allied Health Center for Excellence; Rhonda Hauff, Yakima Neighborhood Health Services

From Compliance Requirementto Organizational Success

Our understanding of the Federally Qualified Health Center

environment, our experience with nonprofits and federal

government compliance, and our expertise in payer-based

revenue cycle management make us a great partner for FQHCs.

Brian Newton, [email protected]

Mathew Hamlin, [email protected]

�Audit, Tax & Compliance

Guidance

�Long-term

Organizational Wellness

�Consulting to Clinic Staff &

Board Members

541-382-3590 www.jrcpa.com/fqhc

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56 – THE ART OF CONTRACT NEGOTIATIONS Track: Operations/Finance

Level: Basic

Field of Study: Business Management & Organization

1.5 CPE

Negotiating contracts with payers is a part of every managers responsibilities. Payment methodologies are changing, but the need to negotiate has not gone away. This course will give attendees the tools to create a successful contract negotiation road map to navigate the best possible outcome for their practice.

Learning Objectives:

1. Gain tools to help build a plan to achieve what they want out of contract negotiation.

2. Gain a comprehensive understanding of the payer field.

3. Have a better understanding of different tools to help in negotiation scenarios.

Presenter: Adam Jones, Medical Practice Management Services

57 – WOMEN IN HEALTHCARE LEADERSHIP, PEER LEARNING PART 2 (Continuation of 53)Track: Women’s Leadership

Over the past several years, women’s issues have been forefront in our media, our news, and our culture. Everywhere, women and their allies are working to make change for themselves and the women they love. It’s time to move that conversation into health care leadership. Women leaders have unique challenges in their work and personal life, are the challenges in the health care industry the same? Different? What are women working in health care experiencing? How can we come together and make change in our lives, our work, and the lives and work of those around us? Join us for this unique listening and learning session where we will work to identify those unique challenges faced by women health care leaders, learn from and connect to our peers, and make a statement about what support and training our Regional PCA can provide to support this work going forward.

Learning Objectives:

1. Build personal and professional networks with existing and emerging women leaders in health care.

2. Identify and build understanding of issues confronting women leaders in health care and best practices for addressing such issues.

3. Provide feedback to the Regional PCA to inform future resource and training content to better address issues women in health care leadership face.

Presenters: Mannat Singh, Consultant; Kelly Rondou, Northwest Regional Primary Care Association

ROBERT MAXWELL • CHC Financial Improvement Manager, Oregon Primary Care Association

VICKI HAMMOND • CFO, HealthPoint

JANINE CHILDS • CFO, Neighborcare

LYNETTE BIRD • Peninsula Community Health Services

CENA PHILLIPS • Terry Reilly Health Services

ESMERALDA CRUZ • Family Health Services

NICOLE PEARSON • Idaho Primary Care Association

TARA FERGUSON • Gould, Alaska Primary Care Association

AKIRA TEMPLETON • Oregon Primary Care Association

THANK YOU TO OUR CONFERENCE PLANNING COMMITTEE

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47

58 – REDUCING THE RISKS OF DENTAL MEDICAID COMPLIANCE AUDITS AND OTHER QUALITY RISK ISSUES IN A COMMUNITY HEALTH CENTER DENTAL PROGRAM Track: Oral Health

1.5 CDE

This session is designed for Clinic Administrators, CEOs and Dental Directors to gain a better understanding of risks to their health centers associated with Medicaid dental compliance and patient quality issues. The session will also outline strategies a health center can use to mitigate those risks and improve patient care.

WE ARE HONORED TO SUPPORT THE

Northwest Regional Primary Care Association

NON-PROFIT LENDING

GREG GRATZ • 206.442.5316

[email protected]

Learning Objectives:

1. Understand risks associated with a dental Medicaid audit.

2. Identify processes to enhance dental Quality Improvement.

3. Identify strategies to improve your patient complaint resolution process.

Presenter: Mark Koday, Yakima Valley Farm Workers Clinic

Page 48: COMMUNITY: HEALTH for all...2 This year’s theme, We the Community: Health for All, both celebrates the community health movement and motivates us to work even harder together toward

MedfordRoom

Salon G

Salon H

Salon F Salon E

Salon I

Salon A

Lounge

GiftShop

Willamette Room

ColumbiaRoom

BellStand

Main Lobby

SunstoneRoom

FitnessCenter

Whirlpool

SwimmingPool

MeadowlarkRoom

Douglas FirRoom

SalmonRoom

Patio

Skywalk toCrown Plaza Parking

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Stairs

Lower Level 1Main Lobby

3rd Floor2nd Floor

HotelService Area

HotelService Area

portland marriott downtown waterfront

hotel floor plans 1401 SW Naito Parkway • Portland, Oregon 97201Hotel (503) 226-7600

Sales Facsimile (503) 226-1209portlandmarriott.com

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Sales,Events

and Executive

Offices

Hotel Service Area

RegistrationStorage

Audio Visual

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Lobby Bar& Café

WIFI NETWORK:Marriott_CONFERENCE

PASSWORD: NWRPCASpring2018

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Northwest Regional Primary Care Association

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